Individual
DOSHA MAE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1405 BEAR ST, MADISON, IN 47250-1705
(812) 265-4513
Mailing address
1405 BEAR ST, MADISON, IN 47250-1705
(812) 265-4513
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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