Individual
BERLYNE TIARA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
933 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 841-1024
Mailing address
7264 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1041
(954) 703-1165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH22762
FL
Other
Enumeration date
12/29/2020
Last updated
09/18/2023
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