Individual
MR. DERWIN DARRELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5413 BACKLICK RD STE A, SPRINGFIELD, VA 22151-3915
(571) 342-0045
Mailing address
5413 BACKLICK RD STE A, SPRINGFIELD, VA 22151-3915
(571) 342-0045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09040012424
VA
1041C0700X
Clinical Social Worker
11899
MD
Other
Enumeration date
09/01/2006
Last updated
03/10/2021
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