Most Relevant Information
Provider Data
| NPI Number: | 1003253642 |
| Provider Name: | JANISE HARRIS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | MSW005852 |
Most Important Dates
| Enumeration Date: | 05/22/2013 |
| Last Updated: | 05/22/2013 |
Provider Practice Location
1039 MAPLE LEAF DR
MCDONOUGH
GA
302538042
Practice Location Phone/Fax
| Phone: | 6784990443 |
| Fax: |
Provider Mailing Location
1039 MAPLE LEAF DR
MCDONOUGH
GA
302538042
Provider Mailing Phone/Fax
| Phone: | 6784990443 |
| Fax: |