Individual
MICHELLE LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SMITHFIELD ST, BUCKHANNON, WV 26201-2620
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH ST, CLARKSBURG, WV 26301-1989
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
48537
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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