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1891941480
CHARLISSA SUANN HARRIS
CORBIN, KY
NPI
1891941480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 118188)
Enumeration Date
2008-08-14
Last Update Date
2016-06-08
Business Address
-- CHARLISSA SUANN HARRIS BS, CADC
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- CHARLISSA SUANN HARRIS BS, CADC
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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