Individual
ASHLEY MARIE COOPER HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 W COOK ST, PORTAGE, WI 53901-2106
(608) 669-6143
Mailing address
242 W COOK ST, PORTAGE, WI 53901-2106
(608) 669-6143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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