Individual
CHRISTI PERRY HARDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
160 MEMORY LN, STOCKBRIDGE, GA 30281-6263
(678) 596-9477
Mailing address
160 MEMORY LN, STOCKBRIDGE, GA 30281-6263
(678) 596-9477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005202
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154573A
—
GA
Enumeration date
10/28/2014
Last updated
06/09/2015
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