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1376198259
SHAVON L HARRIS
COEUR D ALENE, ID
NPI
1376198259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 34863)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
SHAVON L HARRIS LMSW
2201 IRONWOOD PL STE 100
COEUR D ALENE, ID 83814-2670
Phone number: 208-415-0299
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Mailing Address
SHAVON L HARRIS LMSW
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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