Individual
MR. ERIC MALLORY HARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1011 W SAINT JULIAN PL, APEX, NC 27502-8936
(919) 616-3766
(919) 784-9184
Mailing address
1011 W SAINT JULIAN PL, APEX, NC 27502-8936
(919) 616-3766
(919) 784-9184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C004763
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003236
—
NC
Enumeration date
02/01/2007
Last updated
07/09/2007
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