Individual
MS. ALYSSA HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
12410 N. NEBRASKA AVE., TAMPA, FL 33612
(813) 397-5300
(813) 738-9010
Mailing address
515 27TH ST E STE 3, BRADENTON, FL 34208-1879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20950
FL
Other
Enumeration date
08/26/2019
Last updated
07/08/2024
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