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Individual
MS. HOLLY A HARRIS
Active
Individual
MS. HOLLY A 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
149005422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100091935
APS HEALTHCARE
IL
01
—
2232888
BLUE CROSS BLUE SHIELD
IL
01
—
477735
VALUE OPTIONS
IL
01
—
9397361
PRIVATE HEALTHCARE SYSTEM
IL
Enumeration date
11/06/2006
Last updated
05/04/2018
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