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Individual

LISA M HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6096
(703) 497-1225
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(136) 846-6096

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006325
VA
1041C0700X
Clinical Social Worker
SW11621
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010293774
VA
05
6106190
NC
Enumeration date
06/21/2006
Last updated
03/18/2024
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