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 |