Individual
MS. KIMBERLY HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.P.C.
Contact information
Practice address
4021 MCGINNIS FERRY RD APT 224, SUWANEE, GA 30024-8310
(404) 610-9742
(770) 945-9116
Mailing address
4021 MCGINNIS FERRY RD APT 224, SUWANEE, GA 30024-8310
(404) 610-9742
(770) 945-9116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC002011
GA
101YM0800X
Mental Health Counselor
APC002011
GA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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