Doctor Name: | MS. MICHELLE MARIE HARRISON |
NPI Number: | 1073977005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | |
Business Practice Address: | 14015 62nd Ave Nw Gig Harbor, WA - 983328607 |
Business Phone Number: | 2535301097 |
Business Fax Number: | |
Mailing Address: | 14015 62nd Ave Nw, GIG HARBOR |
State: | WA |
Postal Code: | 983328607 |
Phone Number: | 2535301097 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2016 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |