Provider Demographics
NPI:1326517350
Name:COLEMAN-HARDY, ALISON C (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:C
Last Name:COLEMAN-HARDY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MYSTIC ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-1155
Mailing Address - Country:US
Mailing Address - Phone:781-641-8538
Mailing Address - Fax:
Practice Address - Street 1:30 MYSTIC ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-1155
Practice Address - Country:US
Practice Address - Phone:781-641-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker