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Individual
MICHAEL HARRIS
Active
Individual
MICHAEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SW-T
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162623
OH
104100000X
Social Worker
S2303013-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022193
—
OH
Enumeration date
10/29/2021
Last updated
06/05/2024
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