Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW10500 | FL |
NPI | 1003151234 |
---|---|
Provider Name | Karen Keen Harmon |
First Address | Winter Springs, FL 32708-2711 |
Second Address | Orlando, FL 32805-1612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2012 |
Last Update Date | 18/05/2015 |