Individual
BRANDON L. HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
247 UNION POINT ST, LEXINGTON, GA 30648
(706) 743-8171
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(067) 883-2347
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006339
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006339
LICENSE
GA
Enumeration date
12/09/2015
Last updated
08/24/2018
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