Individual
KEENYA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 MAPLEVIEW ST SE, KENTWOOD, MI 49508-4838
(616) 254-9230
Mailing address
1496 MAPLEVIEW ST SE, KENTWOOD, MI 49508-4838
(616) 254-9230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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