Ellisworth Hardiman

NPI #1134351844 in Chandler, Oklahoma

Provider Information

NPI Number: 1134351844
Entity Type: Individual
Name: Ellisworth Hardiman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Pastoral
Enumeration Date: Aug 13, 2009
Last Updated: Aug 13, 2009

Practice Location

Address: 1411 STEELE AVE
City: Chandler
State: Oklahoma
ZIP Code: 74834-4219
Phone: (405) 258-9193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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