Individual
MR. ANDRE L HARRISON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 EDELEN STATION PL, LA PLATA, MD 20646-6966
(202) 607-3092
Mailing address
701 EDELEN STATION PL, LA PLATA, MD 20646-6966
(202) 607-3092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
05/18/2023
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