Individual
MS. MICHELLE L. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5930 REVERE PL, DALLAS, TX 75206-5724
(214) 354-5090
Mailing address
5930 REVERE PL, DALLAS, TX 75206-5724
(214) 354-5090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038912401
—
TX
Enumeration date
04/03/2007
Last updated
08/12/2013
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