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1437208931
MICHAEL J HARRIS
IDAHO FALLS, ID
NPI
1437208931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-420)
Enumeration Date
2007-01-10
Last Update Date
2010-10-07
Business Address
-- MICHAEL J HARRIS MSW, Ph.D
211 S WOODRUFF AVE A4
IDAHO FALLS, ID 83401-4369
Phone number: 208-529-5548
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Mailing Address
-- MICHAEL J HARRIS MSW, Ph.D
211 S WOODRUFF AVE A4
IDAHO FALLS, ID 83401-4369
Phone number: 208-529-5548
Copy
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