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NPI Code Detail

MEDICARE: GRETA DEAN HARRIS

MEDICARE: GRETA DEAN 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 WorkerS1500205OH

General Provider Information

NPI Number : 1922571116
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETA DEAN HARRIS
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-725-3330
Fax Number :
Provider Business Practice Location Address
First Line : 123 22ND ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2706
Country : US
Telephone Number : 419-241-6191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2019
Last Update Date : 05/07/2026

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Directions to “ GRETA DEAN HARRIS ” Practice Location

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