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Individual

NITEIKA LACOLE HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3711 EXECUTIVE CENTER DR, SUITE 201, MARTINEZ, GA 30907-0951
(706) 868-5011
(706) 868-5023
Mailing address
200 PLEASANT HOME RD, MARTINEZ, GA 30907-3520
(915) 229-1753

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005593
GA

Other

Enumeration date
10/28/2015
Last updated
04/02/2026
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