Provider Information for 1821016973
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Ms. CAROL D. HARRIS LCSW
Sex: Female
NPI: 1821016973
Last Updated: 2022-12-16
Certification Date: 2022-12-16
Certification Date: 2022-12-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821016973 | ||||||||
| Enumeration Date | 2006-07-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 609 COLUMBUS AVENUE SUITE 16Q NEW YORK, NY 10024 United States Phone: 929-428-4973 | Fax: | ||||||||
| Primary Practice Address | 609 COLUMBUS AVENUE SUITE 16Q NEW YORK, NY 10024 United States Phone: 929-428-4973 | Fax: | ||||||||
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