Individual
TIA S HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1075 JESSE JEWELL PKWY NE STE A&B, GAINESVILLE, GA 30501-3864
(770) 219-5407
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW005060
GA
Other
Enumeration date
09/27/2007
Last updated
09/15/2023
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