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Individual

JOHN EWING HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2921 GREENBRIAR DR STE B1, SPRINGFIELD, IL 62704-6440
(217) 546-3118
(217) 546-3184
Mailing address
2921 GREENBRIAR DR STE B1, SPRINGFIELD, IL 62704-6440
(217) 546-3118
(217) 546-3184

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005273
IL

Other

Enumeration date
10/11/2005
Last updated
02/14/2021
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