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Contact Information

GWENDOLYN HARRIS I
803 W BAYOU PINES DR STE F
LAKE CHARLES, LA70601
 Phone: 337-990-5305
 Fax: 337-990-5306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GWENDOLYN HARRIS I · (Female)

NPI Number 1134575426
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2016
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
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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