Individual
SHANNON NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
521 NW 9TH AVE, BOYNTON BEACH, FL 33435-3032
(561) 275-0669
Mailing address
521 NW 9TH AVE, BOYNTON BEACH, FL 33435-3032
(561) 275-0669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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