Provider Information for 1306149604
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ANITA R HARRIS LPC
Sex: Female
NPI: 1306149604
Last Updated: 2010-12-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1306149604 | ||||||||
| Enumeration Date | 2010-12-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 900 E LAHARPE ST KIRKSVILLE, MO 63501-4520 United States Phone: 660-665-1962 | Fax:660-665-3989 | ||||||||
| Primary Practice Address | 8333 E BLUE PKWY KANSAS CITY, MO 64133-4750 United States Phone: 816-474-7677 | Fax:816-767-7671 | ||||||||
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