Individual
QUENISHA LOUISE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BW THOMAS DR STE 114, FORT MILL, SC 29708-7207
(706) 817-5133
Mailing address
150 BW THOMAS DR STE 114, FORT MILL, SC 29708-7207
(706) 817-5133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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