Individual
LANA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BRADLEY ST, CARROLLTON, GA 30117-3217
(770) 853-4102
(770) 832-3046
Mailing address
215 BRADLEY ST, CARROLLTON, GA 30117-3217
(770) 853-4102
(770) 832-3046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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