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NPI Profile for EDNA M BETHANCOURT HARRIS in DECATUR, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1205955028 |
|
| Status | Active | |
| Credentials | ADICTION THERAPIST | |
| Entity | Individual | |
| Enumeration date | 03/29/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EDNA M BETHANCOURT HARRIS
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EDNA M BETHANCOURT HARRIS, ADICTION THERAPIST