Individual
DONNIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2335 E STATE AVE, MERIDIAN, ID 83642-8808
(208) 672-1801
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42545
ID
Other
Enumeration date
02/07/2023
Last updated
03/06/2023
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