Individual
AMANDA MURRAY-HARDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7605 LUEDERS AVE, JACKSONVILLE, FL 32208-3443
(904) 955-2588
(904) 766-1370
Mailing address
PO BOX 77253, JACKSONVILLE, FL 32226-7253
(904) 955-2588
(904) 766-1370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
229302
FL
376J00000X
Homemaker
Primary
229302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689136596
—
FL
Enumeration date
11/12/2013
Last updated
12/02/2019
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