Individual
TERA CECILE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E JOLLY RD, SUITE 216, LANSING, MI 48910-6818
(517) 346-8200
(517) 346-8291
Mailing address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(517) 346-8200
(517) 346-8291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014666
MI
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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