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NPI Code Detail

MEDICARE: ERICA E HARRIS LCSW

MEDICARE:   ERICA E HARRIS  LCSW
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
11041C0700XClinical Social Worker41705TX

General Provider Information

NPI Number : 1497140073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA E HARRIS LCSW
Provider Business Mailing Address
First Line : 539 W COMMERCE ST # 2528
Second Line :
City : DALLAS
State : TX
Zip : 75208-1953
Country : US
Telephone Number : 214-893-5181
Fax Number :
Provider Business Practice Location Address
First Line : 539 W COMMERCE ST # 2528
Second Line :
City : DALLAS
State : TX
Zip : 75208-1953
Country : US
Telephone Number : 214-893-5181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 02/23/2021

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Directions to “ ERICA E HARRIS LCSW” Practice Location

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