Individual
DEJON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20012 LOYAL AVE, SOUTH CHESTERFIELD, VA 23803-1622
(804) 210-0990
Mailing address
20012 LOYAL AVE, SOUTH CHESTERFIELD, VA 23803-1622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VA
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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