MEDICARE: MARCEL E HARRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1245793421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCEL E HARRIS

Provider Business Mailing Address
First Line	:	431 ORANGE ST SE APT 4
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-1627
Country	:	US
Telephone Number	:	504-224-3050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1638 R ST NW STE 311
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6446
Country	:	US
Telephone Number	:	202-746-5838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2019
Last Update Date	:	04/13/2019

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Directions to “ MARCEL E HARRIS ” Practice Location

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