Kennard Ralph Harris, LSW
Social Worker in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982152385
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1982152385
- Entity type
- Individual (NPI-1)
- Name
- Kennard Ralph Harris
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2016
- Certification date
- Nov 18, 2024
- Last updated
- Nov 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | SW131872 | PA | Yes |
Practice location
3900 Woodland AvePhiladelphia, PA 19104-4551
Phone 215-823-5800
Mailing address
3900 Woodland AvePhiladelphia, PA 19104-4551
Phone 215-823-5800
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