Individual
MARIE A HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
17012 130TH AVE, JAMAICA, NY 11434-3255
(718) 528-2302
Mailing address
17012 130TH AVE, JAMAICA, NY 11434-3255
(718) 528-2302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9807
NY
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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