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Organization

AMANDA HARDWICK, LCSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA HARDWICK LCSW (COUNSELOR)
(540) 260-3445
Entity
Organization

Contact information

Practice address
325 N FRANKLIN ST, H, CHRISTIANSBURG, VA 24073-2986
(540) 260-3445
(540) 260-9071
Mailing address
325 N FRANKLIN ST, H, CHRISTIANSBURG, VA 24073-2986
(540) 260-3445
(540) 260-9071

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
601077182
VA
01
F511
MEDICARE PTAN
VA
Enumeration date
01/20/2016
Last updated
12/06/2016
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