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Individual

SUSAN HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSED.

Contact information

Practice address
2316 5TH AVE, MOLINE, IL 61265-1530
(309) 762-5433
(309) 762-4481
Mailing address
2316 5TH AVE, MOLINE, IL 61265-1530
(309) 762-5433
(309) 762-4481

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
163W00000X
Registered Nurse
041.315152
IL
163WC1500X
Community Health Registered Nurse
Primary
041.315152
IL
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174H00000X
Health Educator

Other

Enumeration date
06/06/2014
Last updated
06/06/2014
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