Individual
JARRELL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2651 SEARLES AVE APT 1195, LAS VEGAS, NV 89101-9813
(702) 622-8963
Mailing address
2651 SEARLES AVE APT 1195, LAS VEGAS, NV 89101-9813
(702) 622-8963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
NV
Enumeration date
06/17/2014
Last updated
06/25/2014
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