Individual
DEEDRA HARDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 662-9873
(478) 988-8098
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-1222
(478) 988-8098
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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