Individual
ASHLEY CHANELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 CENTER ST FL 3, WATERBURY, CT 06702-2129
(347) 401-1399
Mailing address
55 WASHINGTON ST STE 552, BROOKLYN, NY 11201-1089
(347) 401-1399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10566
CT
Other
Enumeration date
04/22/2019
Last updated
12/01/2020
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