Individual
MICHAEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 KEMP RD, BEAVERCREEK, OH 45431-2644
(937) 458-2306
Mailing address
3040 KEMP RD, BEAVERCREEK, OH 45431-2644
(937) 458-2306
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2898358
OH
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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