Individual
JESSICA LYNN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
197 W CHESTNUT ST, BURLINGTON, WI 53105-1200
(262) 763-9191
Mailing address
197 W CHESTNUT ST, BURLINGTON, WI 53105-1200
(262) 763-9191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366059800
NPI
—
Enumeration date
09/29/2020
Last updated
08/26/2022
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