Individual
MARCIA G HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
757 N 36TH ST, PADUCAH, KY 42001-4679
(270) 442-6883
(270) 442-6883
Mailing address
757 N 36TH ST, PADUCAH, KY 42001-4679
(270) 442-6883
(270) 442-6883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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