Individual
BARBARA ANNA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
923 DEERSPRING PL, NEWBURY PARK, CA 91320-5504
(805) 551-8257
Mailing address
923 DEERSPRING PL, NEWBURY PARK, CA 91320-5504
(805) 551-8257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW19688
CALIFORNIA STATE LICENSE
CA
Enumeration date
05/16/2012
Last updated
05/16/2012
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