Individual
KEISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-3508
(253) 583-1759
Mailing address
248 E 66TH ST, TACOMA, WA 98404-1109
(253) 290-3474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60928255
WA
Other
Enumeration date
06/25/2020
Last updated
03/30/2022
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