Individual
MRS. MICHELLE D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
826 EASTLAND DR, TWIN FALLS, ID 83301-6858
(208) 737-0572
(208) 734-9441
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-43146
ID
Other
Enumeration date
09/16/2019
Last updated
11/13/2023
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