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Individual
PHILIP J HARRIS
Active
Individual
PHILIP J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-A
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689194045
—
NC
Enumeration date
06/26/2017
Last updated
03/17/2018
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