Individual
SHIKEAL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
320 18TH ST, G01, HUNTINGTON, WV 25703
(304) 696-3751
Mailing address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946190
WV
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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