Individual
BREEANNA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11709 FRUEHAUF DR, CHARLOTTE, NC 28273-6507
(404) 276-1981
Mailing address
11709 FREUHAUF DRIVE SUITE 105 & 106, CHARLOTTE, NC 28273
(404) 276-1981
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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