Individual
MRS. NICOLE J HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5951 FAIRINGTON FARMS LN, LITHONIA, GA 30038-1545
(404) 668-8714
Mailing address
5951 FAIRINGTON FARMS LN, LITHONIA, GA 30038-1545
(404) 668-8714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
GA
Other
Enumeration date
03/22/2012
Last updated
04/03/2012
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