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Individual

PAMELA JOANN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CRC, LPC, CCM

Contact information

Practice address
1205 CHILMARK AVE, WAKE FOREST, NC 27587-5336
(919) 570-9788
Mailing address
1205 CHILMARK AVE, WAKE FOREST, NC 27587-5336
(919) 570-9788

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2060
NC

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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