Individual
MARY ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
PO BOX 93, BRADLEY, WV 25818-0093
(304) 222-3798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW08216002
WV
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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