DERICK JEROME HARDY

LAKE CHARLES, LA
NPI1225496888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies102L00000X Psychoanalyst
Enumeration Date2016-02-10
Last Update Date2022-05-11
Business Address
Mr. DERICK JEROME HARDY Masters
1202 KIRKMAN ST STE A
LAKE CHARLES, LA 70601-5391
Phone number: 337-419-3586
Mailing Address
Mr. DERICK JEROME HARDY Masters
6027 CANDICE LN
LAKE CHARLES, LA 70615-4773
Phone number: 337-404-1721
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