Provider Demographics
NPI:1144594193
Name:HARDY, ALEXANDER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:HARDY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 N MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-1455
Mailing Address - Country:US
Mailing Address - Phone:414-559-6121
Mailing Address - Fax:414-445-7858
Practice Address - Street 1:3353 N MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-1455
Practice Address - Country:US
Practice Address - Phone:414-559-6121
Practice Address - Fax:414-445-7858
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical