MR. Malcolm Gene Hardage

NPI #1962830943 in Bixby, Oklahoma

Provider Information

NPI Number: 1962830943
Entity Type: Individual
Name: MR. Malcolm Gene Hardage
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 29, 2013
Last Updated: Oct 29, 2013

Practice Location

Address: 15061 E 181ST ST S
City: Bixby
State: Oklahoma
ZIP Code: 74008-9340
Phone: (918) 724-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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