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Organization

CHRISTINE HARDWAY LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE HARDWAY LCSW (PRESIDENT)
(813) 546-3567
Entity
Organization

Contact information

Practice address
4250 66TH ST N, KENNETH CITY, FL 33709-4918
(727) 546-2405
Mailing address
622 SAXONY BLVD, ST PETERSBURG, FL 33716-1284
(813) 546-3567

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/27/2019
Last updated
06/27/2019
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