Individual
GAYSHA BRIELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2285 BENTON RD STE D103, BOSSIER CITY, LA 71111-3465
(318) 584-7197
(318) 584-7080
Mailing address
2285 BENTON RD STE D103, BOSSIER CITY, LA 71111-3465
(318) 584-7197
(318) 584-7080
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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