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Individual

DENISE KASANDRA HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5699 E 71ST ST STE 4A, INDIANAPOLIS, IN 46220-3968
(317) 410-9402
Mailing address
5699 E 71ST ST STE 4A, INDIANAPOLIS, IN 46220-3968
(317) 410-9402

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
39003415A
IN
101YM0800X
Mental Health Counselor
Primary
39003415A
IN
101YP2500X
Professional Counselor
39003415A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
IN
Enumeration date
12/17/2018
Last updated
12/17/2018
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