Individual
SHAKEDRA LITTLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
546 GA HIGHWAY 49 S, AMERICUS, GA 31719-9307
(229) 938-9573
Mailing address
546 GA HIGHWAY 49 S, AMERICUS, GA 31719-9307
(229) 938-9573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW005979
GA
Other
Enumeration date
09/20/2013
Last updated
03/15/2021
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