Individual
MRS. KELLY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.ED
Contact information
Practice address
631 ARBOR ROAD, WINSTON-SALEM, NC 27104
(336) 971-4540
Mailing address
631 ARBOR ROAD, WINSTON-SALEM, NC 27104
(336) 971-4540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3826
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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