Healthcare Provider Details
I. General information
NPI: 1346987393
Provider Name (Legal Business Name): ALORIN HARRIS, LCSW-C LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2022
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 N COURT ST
FREDERICK MD
21701-5413
US
IV. Provider business mailing address
2405 CALLOWAY CT
FREDERICK MD
21702-2623
US
V. Phone/Fax
- Phone: 240-401-5852
- Fax:
- Phone: 240-401-5852
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
SUNDAY
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-788-2427