Individual
LOREAL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3927 WOODRIDGE RD, BALTIMORE, MD 21229-1912
(443) 642-8844
Mailing address
3927 WOODRIDGE RD, BALTIMORE, MD 21229-1912
(443) 642-8844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8482
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
MD
01
—
000000
NONE
MD
Enumeration date
06/25/2018
Last updated
06/25/2018
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