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Individual
CATHY SUE HARRIS
Active
Individual
CATHY SUE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS28318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11990912
CAQH
CA
05
—
1459909
—
IA
01
—
244574
MIDLANDS CHOICE
IA
01
—
36996
BCBS/WELLMARK OF IOWA
IA
01
—
737362000
MAGELLAN/TITLE 19
IA
Enumeration date
11/01/2006
Last updated
10/06/2015
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