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NPI Code Detail

MEDICARE: MONICA WILLIAMS HARRISON LCSW

MEDICARE: MONICA WILLIAMS HARRISON 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 WorkerC006089NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225359102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA WILLIAMS HARRISON LCSW
Provider Business Mailing Address
First Line : 1046 E WENDOVER AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-6712
Country : US
Telephone Number : 336-271-5999
Fax Number : 336-271-5990
Provider Business Practice Location Address
First Line : 1002 S EUGENE ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-1308
Country : US
Telephone Number : 336-271-5999
Fax Number : 336-271-5990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 08/06/2012

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Directions to “ MONICA WILLIAMS HARRISON LCSW” Practice Location

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