Individual
MIRIAM HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 N MERAMEC AVE STE 10A, CLAYTON, MO 63105-4093
(314) 517-3337
(314) 553-9358
Mailing address
141 N MERAMEC AVE STE 10A, CLAYTON, MO 63105-4093
(314) 517-3337
(314) 553-9358
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LC001473531
MO
Other
Enumeration date
02/16/2016
Last updated
08/16/2021
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