Individual
FANNIE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 SHERMAN AVE, NEW HAVEN, CT 06511-5204
(203) 439-5555
Mailing address
419 WHALLEY AVE, NEW HAVEN, CT 06511-3019
(203) 439-5555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003735
CT
Other
Enumeration date
11/03/2019
Last updated
06/04/2025
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