CHARLES MICKEL HARRIS

ROCK ISLAND, IL
NPI1780190165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-20
Last Update Date2017-12-20
Business Address
CHARLES MICKEL HARRIS
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2285
Mailing Address
CHARLES MICKEL HARRIS
3470 N WILLOW CT APT 3
BETTENDORF, IA 52722-2872
Phone number: 563-357-6299
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