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Individual

MR. MICHAEL HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
87 GLENWOOD AVE, PORTLAND, ME 04103-3128
(207) 852-3983
Mailing address
87 GLENWOOD AVE, PORTLAND, ME 04103-3128
(207) 852-3983

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/14/2020
Last updated
10/14/2020
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