Individual
ANDREA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4670 DOUGLAS AVE, BRONX, NY 10471-3518
(917) 494-7874
Mailing address
4670 DOUGLAS AVE, BRONX, NY 10471-3518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
041711-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9035882
OXFORD
—
Enumeration date
10/06/2008
Last updated
10/06/2008
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