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Individual

MELISSIA SUE HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
312 6TH AVE, SUITE 2, SOUTH CHARLESTON, WV 25303-1265
(304) 768-6170
(304) 768-7465
Mailing address
312 6TH AVE, SUITE 2, SOUTH CHARLESTON, WV 25303-1265
(304) 768-6170
(304) 768-7465

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1017
WV

Other

Enumeration date
02/22/2011
Last updated
02/22/2011
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