| Mildred Harris | |
|
3326 Durham Chapel Hill Blvd Sutie D Durham NC 27707-6239 | |
| (919) 806-0130 | |
| (919) 401-8091 |
| Full Name | Mildred Harris |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3326 Durham Chapel Hill Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Mildred Harris (OWNER) |
| Authorized Official Contact | 9198060130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mildred Harris 103 Stinhurst Dr Durham NC 27713-7531 Ph: (919) 806-0130 | Mildred Harris 3326 Durham Chapel Hill Blvd Sutie D Durham NC 27707-6239 Ph: (919) 806-0130 |
| NPI Number | 1851760391 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851760391 | NPI | - | NPPES |
| 6002004 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C600605 (North Carolina) | Primary |
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