MRS. Indira Maria Wallace Harris, LCSW
NPI #1679637391 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1679637391
- Entity Type
- Individual
- Name
- MRS. Indira Maria Wallace Harris, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 727 N US HIGHWAY 1
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34950-9125
- Phone
- (772) 595-5150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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