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Individual

ALEXIS HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 FORBES BLVD, GLENARDEN, MD 20706-6312
(301) 970-9678
Mailing address
4500 FORBES BLVD, GLENARDEN, MD 20706-6312
(301) 970-9678

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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