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1588663256
TEDDY A HARRIS
MARTINSBURG, WV
NPI
1588663256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV CP00939221)
Enumeration Date
2005-07-15
Last Update Date
2021-01-14
Business Address
TEDDY A HARRIS LCSW
99 TAVERN RD
MARTINSBURG, WV 25401-2890
Phone number: 304-263-7023
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Mailing Address
TEDDY A HARRIS LCSW
PO BOX 1146
MARTINSBURG, WV 25402-1146
Phone number: 304-263-7023
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