Individual
TENICHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 LOCHSTONE DR, POWDER SPRINGS, GA 30127-7893
(770) 317-8413
Mailing address
1370 LOCHSTONE DR, POWDER SPRINGS, GA 30127-7893
(770) 317-8413
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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