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Individual

MR. STEPHEN R HARDISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.E.

Contact information

Practice address
377 SHORT ST, SUITE D, COOKEVILLE, TN 38501-7119
(931) 528-9399
(931) 526-9300
Mailing address
PO BOX 822, COOKEVILLE, TN 38503-0822
(931) 528-9399
(931) 526-9300

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PE0000001584
TN

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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