Individual
MRS. MYRA E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1443 9TH ST, TELL CITY, IN 47586-1407
(812) 547-7905
(812) 547-5146
Mailing address
PO BOX 769, JASPER, IN 47547-0769
(812) 482-3020
(812) 482-6409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007124A
IN
Other
Enumeration date
11/21/2012
Last updated
02/18/2015
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