Individual
KEISHARA TAMECE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 E CITY HALL AVE STE 300, NORFOLK, VA 23510-1732
(757) 619-0665
Mailing address
3419 VIRGINIA BEACH BLVD # 5276, VIRGINIA BEACH, VA 23452-4419
(757) 285-7922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012575
VA
Other
Enumeration date
03/26/2021
Last updated
11/04/2021
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