Metalisa Joyce Hartford, LBSW

NPI #1457631616 in Waco, Texas

Provider Information

NPI Number: 1457631616
Entity Type: Individual
Name: Metalisa Joyce Hartford, LBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Credential: LBSW
Enumeration Date: Aug 19, 2011
Last Updated: Aug 19, 2011

Practice Location

Address: 2409 CHARBONEAU DR
City: Waco
State: Texas
ZIP Code: 76710-1105
Phone: (254) 235-1969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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