Provider Information for 1053536367
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Ms. CAMEO TUESDAY HARRIS LCSW
Sex: Female
NPI: 1053536367
Last Updated: 2024-02-12
Certification Date: 2024-02-12
Certification Date: 2024-02-12
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053536367 | ||||||||||||
| Enumeration Date | 2007-04-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 732 THIMBLE SHOALS BLVD STE 202 NEWPORT NEWS, VA 23606-4262 United States Phone: 757-753-5812 | Fax: | ||||||||||||
| Primary Practice Address | 732 THIMBLE SHOALS BLVD STE 202 NEWPORT NEWS, VA 23606-4262 United States Phone: 175-753-5812 | Fax:757-223-7856 | ||||||||||||
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