Individual
STACY ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 E CHURCH ST, JASPER, GA 30143-1312
(678) 779-4223
Mailing address
271 BIG RIDGE RD, TALKING ROCK, GA 30175-4604
(678) 779-4223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW001906
GA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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