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Individual

MRS. LISA R HARRIS-NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSC-AD-P

Contact information

Practice address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1609
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
520202700
MD
05
520202701
MD
Enumeration date
06/11/2008
Last updated
09/12/2012
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