Search › North Carolina › 1041C0700X
Kellie Hardison, MSW, LCSW, QP
NPI 1093195554 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3134 Market Street Ext
Washington, NC 27889 - Phone
- (252) 945-2162
- Fax
- (252) 975-3044
- Organisation at this address
- Country Living Guest Home, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina