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1174896674
STACEY HARDY
FAIRFAX, VA
NPI
1174896674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007806)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
Dr. STACEY HARDY Ph.D., J.D., L.C.S.W
10648 ASHBY PL
FAIRFAX, VA 22030-5112
Phone number: 702-287-0282
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Mailing Address
Dr. STACEY HARDY Ph.D., J.D., L.C.S.W
PO BOX 804
FAIRFAX, VA 22038-0804
Phone number: 702-287-0282
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