Mya Harris, LCSW
Social Worker in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1053782003
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1053782003
- Entity type
- Individual (NPI-1)
- Name
- Mya Harris
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2015
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 8343-123 | WI | Yes |
Other names
- Mya Angelou Burich Cooks (Former Name)
Practice location
3040 N 117th StWauwatosa, WI 53222-4128
Phone 414-479-9990 · Fax 414-479-0230
Mailing address
9000 W Wisconsin AveMs 958
Milwaukee, WI 53226-4874
Phone 414-266-7451 · Fax 414-266-6238
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All 22 Social Worker providers in Wauwatosa · All 2,300 providers in Wauwatosa
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