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Individual

DOROTHY D HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 798-1191
Mailing address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 798-1191

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3825-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43716900
WI
Enumeration date
03/10/2008
Last updated
01/14/2022
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