Individual
MS. SUSAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 589-8600
Mailing address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223-3818
(502) 589-8600
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164856019
—
KY
Enumeration date
08/28/2013
Last updated
03/17/2018
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