Individual
MS. STACY L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 E MAIN ST, RICHMOND, KY 40475-1647
(606) 776-4741
(866) 535-3105
Mailing address
897 MOUNT RUSHMORE DR, RICHMOND, KY 40475-8760
(859) 951-4440
(866) 535-3105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3212
KY
1041C0700X
Clinical Social Worker
Primary
3212
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/11/2007
Last updated
10/27/2020
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