Individual
BLAKE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
5101 BLACKWELL RD, MEMPHIS, TN 38134-3101
(901) 828-0623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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