Individual
SANDRA R HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
115 LEGENDARY DR UNIT 204, ST AUGUSTINE, FL 32092-3748
(631) 488-8482
Mailing address
115 LEGENDARY DR UNIT 204, ST AUGUSTINE, FL 32092-3748
(631) 488-8482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110212
NY
104100000X
Social Worker
ISW19555
FL
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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