Individual
TERESA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
110 MARTINGALE CIR, MADISON, AL 35758-4702
(256) 617-1654
Mailing address
110 MARTINGALE CIR, MADISON, AL 35758-4702
(256) 617-1654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1318C
AL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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