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DR. CHARLIE L HARRIS PHD

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1205919123

Individual Registrant:
DR. CHARLIE L HARRIS PHD
Gender: F
Sole Proprietor

Location and contact information for practice:
120 MILLBROOK VILLAGE DR STE B203  TYRONE, GA 30290-3605 US
Tel: 770-727-6110  Fax: 800-749-1966

Contact information for business:
5877 VILLAGE LOOP  FAIRBURN, GA 30213-4636 US
Tel: 404-277-0604  Fax: 404-277-0604

Registration Information:
NPI: 1205919123
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
GA002080

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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