Individual
ANTOINETTE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Mailing address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M.220063
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/06/2020
Last updated
10/07/2022
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