| Elizabeth Harrison Lcsw | |
|
108 Wind Chime Ct Raleigh NC 27615-6433 | |
| (919) 792-8310 | |
| Not Available |
| Full Name | Elizabeth Harrison Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 108 Wind Chime Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Elizabeth Harrison (OWNER) |
| Authorized Official Contact | 9197928310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Harrison Lcsw 108 Wind Chime Ct Raleigh NC 27615-6433 Ph: (919) 792-8310 | Elizabeth Harrison Lcsw 108 Wind Chime Ct Raleigh NC 27615-6433 Ph: (919) 792-8310 |
| NPI Number | 1891358560 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 5395076137 |
|---|---|
| Medicare Enrollment ID | O20191009002811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891358560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033523113 PECOS PAC ID: 3072897768 Enrollment ID: I20170223002460 |
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