Individual
ANTONIO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 SHOALS LN, GARNER, NC 27529-4825
(919) 414-4003
Mailing address
103 SHOALS LN, GARNER, NC 27529-4825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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