Provider Information for 1508032285
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VALERIE C HARRIS LCSW
Sex: Female
NPI: 1508032285
Last Updated: 2023-01-10
Certification Date: 2023-01-10
Certification Date: 2023-01-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508032285 | ||||||||||||
| Enumeration Date | 2008-05-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10539 SHADY FALLS CT RIVERVIEW, FL 33578-5419 United States Phone: 313-218-3421 | Fax: | ||||||||||||
| Primary Practice Address | 29876 NEWPORT DR WARREN, MI 48088-3643 United States Phone: 313-218-3421 | Fax: | ||||||||||||
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