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Individual

MR. RODERICK MASHUN HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3061 ADIRON WAY, TALLAHASSEE, FL 32317-7484
(850) 339-8389
Mailing address
3061 ADIRON WAY, TALLAHASSEE, FL 32317-7484
(850) 339-8389

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
12/10/2009
Last updated
12/10/2009
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