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Individual
MALISSA BOBBI HARRIS
Active
Individual
MALISSA BOBBI HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, CMC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851976526
COMMERICAL
FL
Enumeration date
03/15/2021
Last updated
07/15/2022
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