Harris, Indira Maria Wallace
Harris, Indira Maria Wallace is an sole proprietor health care provider with primary practice located at 727 N Us Highway 1 , Fort Pierce FL 34950-9125. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris, Indira Maria Wallace can be contacted via phone (772) 595-5150.Contact Information
Primary practice address
727 N Us Highway 1
Fort Pierce FL 34950-9125
Phone: (772) 595-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 7536 | Florida |
Profile Details
| NPI number | 1679637391 |
|---|---|
| LBN Legal business name | Harris, Indira Maria Wallace |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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