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Individual

MICHELE A HARDWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2632 PENNSYLVANIA ST NE, SUITE E, ALBUQUERQUE, NM 87110-3613
(505) 242-4400
(505) 242-4595
Mailing address
240 ALISO DR NE, ALBUQUERQUE, NM 87108-1003
(505) 269-1030

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0169481
NM

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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