Individual
DEMETRIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(888) 880-9270
Mailing address
720 CARROLLWOOD VILLAGE DR APT 399, GRETNA, LA 70056-3093
(504) 494-6660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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