Individual
MS. DANA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-8572
Mailing address
3610 SPRING CRESS DR, COLUMBIA, MO 65202-9004
(573) 886-0571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005147
STATE LISCENCE NUMBER
MO
Enumeration date
07/20/2007
Last updated
07/20/2007
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