Individual
MR. DAVID R HARRIS
Active
Individual
MR. DAVID R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000010415
MEDICARE RAILROAD RETIRE
FL
01
—
Z3772
BCBS OF FLORIDA
FL
Enumeration date
11/08/2006
Last updated
07/08/2007
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