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Individual

MRS. JENNIFER BEATLEY HARDEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
2245 STANTONSBURG RD, STE. O, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 757-3172
Mailing address
4300 SAPPHIRE CT, STE. 110, GREENVILLE, NC 27834-9075
(252) 830-7540
(252) 752-0074

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1379
NC

Other

Enumeration date
04/27/2009
Last updated
04/27/2009
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