Individual
CECILY ANN HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 CESERY BLVD STE 100, JACKSONVILLE, FL 32211-5656
(904) 745-3070
(904) 745-3086
Mailing address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
(904) 745-3085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0003230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761635000
—
FL
Enumeration date
09/06/2006
Last updated
11/10/2015
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