Individual
MR. ANTONIO DION HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(951) 243-4249
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(951) 243-4249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99839
CA
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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