Individual
DEBBIE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4449 N 12TH ST, SUITE A1, PHOENIX, AZ 85014-4520
(602) 279-1427
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6260905
AZ
385HR2055X
Child Mental Illness Respite Care
6260905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6260905
OLR PROFESSIONAL FOSTER CARE LICENSE
AZ
Enumeration date
11/20/2014
Last updated
01/09/2015
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