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NPI Code Detail

MEDICARE: ANGELA HARRIS, LCSW PLLC

MEDICARE: ANGELA HARRIS, LCSW PLLC
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 Worker

General Provider Information

NPI Number : 1942958723
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELA HARRIS, LCSW PLLC
Provider Business Mailing Address
First Line : PO BOX 2233
Second Line :
City : BIGFORK
State : MT
Zip : 59911-2233
Country : US
Telephone Number : 406-540-5480
Fax Number : 406-540-5479
Provider Business Practice Location Address
First Line : 7935 MT HIGHWAY 35 STE 202
Second Line :
City : BIGFORK
State : MT
Zip : 59911-5711
Country : US
Telephone Number : 406-540-5480
Fax Number : 406-540-5479
Authorized Official
Title or Position : OWNER
Name : ANGELA HARRIS
Credential : LCSW
Telephone Number : 406-540-5480
Provider Enumeration Date : 03/11/2022
Last Update Date : 01/23/2024

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