Individual
CHRISTY GAYLE HARDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1171 107TH ST, GRAND PRAIRIE, TX 75050-2502
(817) 649-3700
Mailing address
805 COOPER SQUARE CIR APT 130, ARLINGTON, TX 76013-5147
(817) 696-1785
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11846752
DRIVER LICENSE
TX
Enumeration date
07/17/2021
Last updated
07/17/2021
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