Individual
CHRISTINE VIVIAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2446 GREYWALL AVE, OCOEE, FL 34761-8965
(407) 295-4573
Mailing address
2446 GREYWALL AVE, OCOEE, FL 34761-8965
(407) 295-4573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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