Individual
WANDA N HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 OHARA AVE, OAKLEY, CA 94561-3502
(925) 625-5060
Mailing address
1100 OHARA AVE, OAKLEY, CA 94561-3502
(925) 625-5060
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
150196262
CA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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