MEDICARE: CHRISTOPHER HARRIS MSW

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	:	1093190530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HARRIS MSW

Provider Business Mailing Address
First Line	:	6424 E GREENWAY PKWY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-2045
Country	:	US
Telephone Number	:	480-757-4705
Fax Number	:

Provider Business Practice Location Address
First Line	:	6424 E GREENWAY PKWY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-2045
Country	:	US
Telephone Number	:	480-757-4705
Fax Number	:

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

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	02/13/2023

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