Individual
MRS. DIANA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 WILLOW DR, SHREVEPORT, LA 71118-4041
(318) 550-6247
Mailing address
922 WILLOW DR, SHREVEPORT, LA 71118-4041
(318) 550-6247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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