Individual
JEFFERY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEAD INSPECTOR
Contact information
Practice address
3 CAPITOL HL STE 206, PROVIDENCE, RI 02908-5034
(401) 222-7751
(401) 222-2456
Mailing address
231 MAIN ST STE 201, BROCKTON, MA 02301-4342
(508) 543-1109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LI00096
RI
Other
Enumeration date
08/01/2024
Last updated
08/26/2024
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