THEODORE R HARRIS

EVANSTON, IL
NPI1902142003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.016113)
Enumeration Date2012-12-17
Last Update Date2018-06-15
Business Address
Mr. THEODORE R HARRIS LCSW, CADC
820 DAVIS ST STE 453
EVANSTON, IL 60201-4447
Phone number: 312-576-5760
Mailing Address
Mr. THEODORE R HARRIS LCSW, CADC
927 ASBURY AVE
EVANSTON, IL 60202-1637
Phone number: 773-680-1534