Individual
MASHONDA LAFAYE HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2352 HOLIDAY DR, MACON, GA 31217-4414
(478) 538-2672
Mailing address
2352 HOLIDAY DR, MACON, GA 31217-4414
(478) 538-2672
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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