Individual
BEATA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21 W 2ND ST STE 19, RIVERHEAD, NY 11901-2752
(631) 882-7956
Mailing address
443 CLAUS AVE, RIVERHEAD, NY 11901-2901
(631) 882-7956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0919241
NY
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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