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Individual

CLARENCE HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCBADCI

Contact information

Practice address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RS8311A
CA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/19/2015
Last updated
04/10/2024
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