Individual
DOUG J. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 N 6TH ST APT D, LARAMIE, WY 82072-2183
(307) 460-3156
Mailing address
1260 N 6TH ST APT D, LARAMIE, WY 82072-2183
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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