Provider Information for 1285372656
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Mrs. KELLY EATON HARPER LCSW
Sex: Female
NPI: 1285372656
Last Updated: 2022-05-25
Certification Date: 2022-05-25
Certification Date: 2022-05-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285372656 | ||||||||
| Enumeration Date | 2022-05-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6498 HIGHWAY 2 OAK GROVE, LA 71263-8386 United States Phone: 318-267-0901 | Fax: | ||||||||
| Primary Practice Address | 6498 HIGHWAY 2 OAK GROVE, LA 71263-8386 United States Phone: 318-267-0901 | Fax: | ||||||||
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