Individual
MRS. VICKIE HARRIS STARTUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
(931) 372-7225
Mailing address
40 HEATHER GLEN CIR, CROSSVILLE, TN 38558-6434
(931) 265-5350
(931) 372-7225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000004689
TN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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