Individual
MR. KILLIS MAURY HARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3320 BROTHER BLVD, MEMPHIS, TN 38133-8950
(901) 251-4852
Mailing address
9292 PIGEON ROOST RD, OLIVE BRANCH, MS 38654-2412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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