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Individual

JANE P HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I 0005082
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I 0005082
STATE LICENSE
OH
Enumeration date
05/09/2016
Last updated
05/09/2016
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