Individual
SHANON KINTE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3439 BRUCKNER BLVD OFC, BRONX, NY 10461-5249
(347) 657-9011
Mailing address
3439 BRUCKNER BLVD OFC, BRONX, NY 10461-5249
(347) 657-9011
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001108
NY
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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