Individual
RACHEL JUSTINE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
Mailing address
203 PLAINVIEW AVE, FAIRMONT, WV 26554-1853
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW102316884
WV
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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