Individual
BRENNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA, MHP
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SA60915578
WA
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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