Individual
STACI HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
6930 ARDLEIGH ST, PHILADELPHIA, PA 19119-1314
(267) 622-4749
Mailing address
6930 ARDLEIGH ST, PHILADELPHIA, PA 19119-1314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127817
PA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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