Organization
SPECIALIZED SOCIAL WORK SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FULLER HARRIS LCSW,BACS (LCSW)
(225) 931-2653
Entity
Organization
Contact information
Practice address
39094 N ANGELLE CT OFC, GONZALES, LA 70737-6192
(225) 931-2653
(225) 677-8666
Mailing address
PO BOX 96, DUPLESSIS, LA 70728-0096
(225) 931-2653
(225) 677-8666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2486632
—
LA
Enumeration date
07/24/2020
Last updated
07/27/2020
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