MEDICARE: JJ HARRIS & ASSOCIATES

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	5139-S	NV

General Provider Information

NPI Number	:	1184945909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJ HARRIS & ASSOCIATES

Provider Business Mailing Address
First Line	:	1100 MERIDIAN BAY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1625
Country	:	US
Telephone Number	:	702-719-9773
Fax Number	:	702-897-2984

Provider Business Practice Location Address
First Line	:	1100 MERIDIAN BAY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1625
Country	:	US
Telephone Number	:	702-719-9773
Fax Number	:	702-897-2984

Authorized Official
Title or Position	:	CEO
Name	:	MS. MONIQUE HARRIS
Credential	:	MSW
Telephone Number	:	702-719-9773

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	06/16/2010

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