Individual
NICOLE DIANE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8638 VETERANS HWY STE 301, MILLERSVILLE, MD 21108-1422
(443) 679-3959
Mailing address
1010 MORGAN STATION DR, SEVERN, MD 21144-1248
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21460
MD
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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