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NPI Code Detail

MEDICARE: MS. DESTANEE JABRIA HARRIS

MEDICARE: MS. DESTANEE JABRIA 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
1104100000XSocial Worker5926GAL

General Provider Information

NPI Number : 1811813025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DESTANEE JABRIA HARRIS
Provider Business Mailing Address
First Line : 633 TUSCALOOSA AVE SW
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35211-1637
Country : US
Telephone Number : 205-235-4003
Fax Number :
Provider Business Practice Location Address
First Line : 633 TUSCALOOSA AVE SW
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35211-1637
Country : US
Telephone Number : 205-235-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ MS. DESTANEE JABRIA HARRIS ” Practice Location

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