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Individual
MRS. STACIE NICHOLE HARRISON
Active
Individual
MRS. STACIE NICHOLE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
35928
ID
101YM0800X
Mental Health Counselor
Primary
NON-LICENSED CSWA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500722862
—
OR
Enumeration date
03/24/2017
Last updated
04/07/2017
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