Individual
ELIZABETH MARY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 14TH AVE - MAIN, LONGVIEW, WA 98632
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60806423
WA
164W00000X
Licensed Practical Nurse
00027994
WA
Other
Enumeration date
09/11/2018
Last updated
03/19/2022
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