Individual
TAWANA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
858 E 29TH ST, BROOKLYN, NY 11210-2927
(718) 859-4500
Mailing address
858 E 29TH ST, BROOKLYN, NY 11210-2927
(718) 859-4500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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