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Individual
SAMUEL WESLEY HARRISON
Active
Individual
SAMUEL WESLEY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009923639
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09929734
CO
Other
Enumeration date
04/15/2022
Last updated
03/03/2025
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