Individual
SHAVON L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16114 E INDIANA AVE STE 210, SPOKANE VALLEY, WA 99216-1874
(360) 215-3242
Mailing address
20899 E THOMPSON AVE, LIBERTY LAKE, WA 99019-7803
(360) 215-3242
(360) 326-7224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34863
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34863
LICENSE
ID
01
—
SWIA.SC.70031371
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/07/2019
Last updated
04/16/2026
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