Provider Information for 1255704748
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SHERRITA MARIE FORREST
Other Names:Professional Name:SHERRITA MARIE HARRISON LPCSex: Female
NPI: 1255704748
Last Updated: 2024-08-05
Certification Date: 2024-08-05
Certification Date: 2024-08-05
Details
Name | Value | ||||||||||||||||
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NPI | 1255704748 | ||||||||||||||||
Enumeration Date | 2015-11-05 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 1030 JEFFERSON AVE MEMPHIS, TN 38104-2127 United States Phone: 901-523-8990 | Fax: | ||||||||||||||||
Primary Practice Address | 1030 JEFFERSON AVE MEMPHIS, TN 38104-2127 United States Phone: 901-523-8990 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | 118 E 91ST ST APT 3D | ||||||||||||||||
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