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Contact Information

ANGELA HARRIS
115 JEFFERSON HWY
LOUISA, VA23093-6563
 Phone: 502-680-2641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ANGELA HARRIS · (Female)

NPI Number 1821393646
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2011
Last updated 10/01/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 01192011
  • VA License # 0904009227
  • KY Medicaid 1790731081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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