Individual
EBONIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHM
Contact information
Practice address
3713 GLENOAK DR, HARVEY, LA 70058-1918
(504) 405-0769
Mailing address
3713 GLENOAK DR, HARVEY, LA 70058-1918
(504) 405-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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