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1679048623
DEITRA HARRIS
CHARLOTTE, NC
NPI
1679048623
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Professional Name
DEITRA HARRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C010735)
Enumeration Date
2018-10-05
Last Update Date
2020-01-10
Business Address
DEITRA HARRIS LCSW
7700 ELLA JANE LN APT W
CHARLOTTE, NC 28273-4782
Phone number: 704-200-7983
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Mailing Address
DEITRA HARRIS LCSW
7700 ELLA JANE LN APT W
CHARLOTTE, NC 28273-4782
Phone number: 704-200-7983
Copy
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