Individual
AUDRA SCOTT HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
737B NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 991-9551
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100294760
—
KY
Enumeration date
10/23/2006
Last updated
06/17/2024
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