Organization
JILL HARDEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A HARDEE LMSW (BEHAVIORAL HEALTH CLINICIAN)
(907) 598-3470
Entity
Organization
Contact information
Practice address
43335 K BEACH RD BLDG E, SUITE 8, SOLDOTNA, AK 99669-8280
(907) 598-3470
Mailing address
PO BOX 7501, NIKISKI, AK 99635-7501
(907) 598-3470
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1035
AK
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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