Individual
MS. JANISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1039 MAPLE LEAF DR, MCDONOUGH, GA 30253-8042
(678) 499-0443
Mailing address
1039 MAPLE LEAF DR, MCDONOUGH, GA 30253-8042
(678) 499-0443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005852
GA
1041S0200X
School Social Worker
1267959
GA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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