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1639830847
MISTY JEAN HARRIS
WINCHESTER, VA
NPI
1639830847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 0711000473)
Enumeration Date
2022-01-10
Last Update Date
2022-01-12
Business Address
MRS. MISTY JEAN HARRIS
500 PEGASUS CT
WINCHESTER, VA 22602-4596
Phone number: 540-504-7257
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Mailing Address
MRS. MISTY JEAN HARRIS
500 PEGASUS CT
WINCHESTER, VA 22602
Phone number: 540-313-4196
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