Individual
MS. JANET HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2505 MAIN ST, SUITE 208, STRATFORD, CT 06615-5839
(203) 386-0364
(203) 386-0364
Mailing address
31 CORNERSTONE DR, DERBY, CT 06418-1145
(203) 735-3038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003348
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003348
LCSW
CT
Enumeration date
10/04/2006
Last updated
07/08/2007
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