INDIRA MARIA WALLACE HARRIS

FORT PIERCE, FL
NPI1679637391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW 7536)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
Mrs. INDIRA MARIA WALLACE HARRIS LCSW
727 N US HIGHWAY 1
FORT PIERCE, FL 34950-9125
Phone number: 772-595-5150
Mailing Address
Mrs. INDIRA MARIA WALLACE HARRIS LCSW
1373 SW GRANVILLE AVE
PORT ST LUCIE, FL 34953-2202
Phone number: 954-347-6095