Individual
KIARA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 SAINT JULIAN PL, COLUMBIA, SC 29204-2402
(803) 708-5081
Mailing address
1735 SAINT JULIAN PL, COLUMBIA, SC 29204-2402
(803) 708-5081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
103103364
SC
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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