Individual
KELLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(573) 433-9960
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(573) 433-9960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
58284
TX
1041C0700X
Clinical Social Worker
58284
TX
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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