Individual
DEBORAH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8151 S 5940 W, WEST JORDAN, UT 84081
(410) 300-7629
Mailing address
8151 S 5940 W, WEST JORDAN, UT 84081-3101
(410) 300-7629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8349108-3501
UT
1041C0700X
Clinical Social Worker
8349108-3502
UT
Other
Enumeration date
01/29/2014
Last updated
05/31/2018
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