Individual
MRS. AUTUMN MICHELE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 722-4091
Mailing address
23860 KENSINGTON ST, TAYLOR, MI 48180-3443
(313) 333-0508
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099569
MI
104100000X
Social Worker
6802087329
MI
Other
Enumeration date
12/27/2013
Last updated
03/29/2017
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