Individual
MYQUE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-5881
Mailing address
701 W PRATT ST, BALTIMORE, MD 21201-1023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2593
MD
Other
Enumeration date
12/20/2007
Last updated
05/05/2008
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