Individual
CLORINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3353 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1455
(414) 771-0227
Mailing address
2704 N 87TH ST, MILWAUKEE, WI 53222-4729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
505-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39577000
—
WI
Enumeration date
04/29/2008
Last updated
04/29/2008
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