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Provider Information for 1891378485


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Ms. SHAKIYA N HARRISON LCSW


Sex: Female

NPI: 1891378485
Last Updated: 2021-09-17
Certification Date: 2021-08-24

Details

NameValue
NPI1891378485
Enumeration Date2021-04-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
United States

Phone: 202-253-5264 | Fax:
 
Primary Practice Address 9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
United States

Phone: 202-253-5264 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalVA0904012839