Individual
LISA Y HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(800) 498-8792
(765) 677-5183
Mailing address
1525 LINCOLN WAY W, SOUTH BEND, IN 46628-2419
(800) 498-8792
(765) 677-5183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
34004321A
IN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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