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1851925408
THERESA MARIE HARDY
LAKE CHARLES, LA
NPI
1851925408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5066)
Enumeration Date
2020-02-22
Last Update Date
2021-05-10
Business Address
Dr. THERESA MARIE HARDY PhD
6027 CANDICE LN
LAKE CHARLES, LA 70615-4773
Phone number: 337-520-0057
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Mailing Address
Dr. THERESA MARIE HARDY PhD
3717 SWANEE ST
LAKE CHARLES, LA 70607-3035
Phone number: 337-249-0536
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