Individual
DONNA HARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 PENMARC DR, SUITE 118, RALEIGH, NC 27603-2400
(800) 632-6074
Mailing address
PO BOX 10414, C O PARADIGM HEALTH SERVICES, LARGO, FL 33773-0414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106787
—
NC
Enumeration date
10/23/2007
Last updated
11/19/2007
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