Individual
KATRINA HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5024 GRASSY KNOLL DR, TAVARES, FL 32778-6211
(352) 434-8540
(352) 609-2097
Mailing address
5024 GRASSY KNOLL DR, TAVARES, FL 32778-6211
(352) 434-8540
(352) 609-2097
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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