Individual
KEITH TARRHN HARDIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3165 MCKELVEY RD, BRIDGETON, MO 63044-2550
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0606251041
MO
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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