Individual
AMANDA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
2036 E 13TH ST, TULSA, OK 74104-4435
(918) 630-0249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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