Individual
WANDA S HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASEMANAGER
Contact information
Practice address
1119 MCLAUGHLIN ST, STATESVILLE, NC 28677-6862
(704) 838-0941
(704) 838-0330
Mailing address
1119 MCLAUGHLIN ST, STATESVILLE, NC 28677-6862
(704) 838-0941
(704) 838-0330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
000000000
NC
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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