| NPI | 1437403698 |
|---|---|
| Former Name | DESMOND EUGENE HARRISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600280) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129424) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2022-07-21 |