Miranda Harris, LCSW, MSSW
Social Worker, Clinical in Huntley, IL. Individual provider (NPI-1).
NPI number1124533740
StatusActive
Last updated in NPPESDec 5, 2017
Details
- NPI
- 1124533740
- Entity type
- Individual (NPI-1)
- Name
- Miranda Harris
- Credential
- LCSW, MSSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2017
- Last updated
- Dec 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149017417 | IL | Yes |
Other names
- Miranda Tobias (Former Name)
Practice location
12040 Raymond CtHuntley, IL 60142-8069
Phone 847-515-1505
Mailing address
2287 Albright LnWheaton, IL 60189-8902
Phone 248-535-3290
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