Provider Information for 1992139505
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Miss JOHANNA ELIZABETH HARRIS LPC
Sex: Female
NPI: 1992139505
Last Updated: 2020-01-27
Certification Date: 2020-01-27
Certification Date: 2020-01-27
Details
| Name | Value | ||||||||||||||
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| NPI | 1992139505 | ||||||||||||||
| Enumeration Date | 2013-08-30 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 5472 SHIREWICK LN LITHONIA, GA 30058-3872 United States Phone: 678-270-6712 | Fax:888-288-5302 | ||||||||||||||
| Primary Practice Address | 235 PEACHTREE ST NE STE 400 ATLANTA, GA 30303-1400 United States Phone: 678-270-6712 | Fax:888-288-5302 | ||||||||||||||
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