Individual
MS. LORI STEPHANIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
20600 EUREKA RD, SUITE 819, TAYLOR, MI 48180-5343
(734) 285-8282
Mailing address
1709 MCKINLEY, WYANDOTTE, MI 48192-7206
(734) 282-3518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008233
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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