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Individual
MISS KAITLIN HARRIS
Active
Individual
MISS KAITLIN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC,LAT, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87896
TX
2255A2300X
Athletic Trainer
AT5459
TX
Other
Enumeration date
08/04/2019
Last updated
05/22/2024
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