Individual
CHRISTY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8706
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
117039
MA
104100000X
Social Worker
Primary
ISW03082
RI
Other
Enumeration date
09/11/2018
Last updated
09/29/2020
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