Provider Demographics
NPI:1750598322
Name:HARRIS, KARI BETH (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:BETH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 SOUTH SKILL CENTER ROAD
Mailing Address - Street 2:
Mailing Address - City:SACATON
Mailing Address - State:AZ
Mailing Address - Zip Code:85147
Mailing Address - Country:US
Mailing Address - Phone:520-562-3801
Mailing Address - Fax:520-562-3415
Practice Address - Street 1:198 SOUTH SKILL CENTER ROAD
Practice Address - Street 2:
Practice Address - City:SACATON
Practice Address - State:AZ
Practice Address - Zip Code:85147
Practice Address - Country:US
Practice Address - Phone:520-562-3801
Practice Address - Fax:520-562-3415
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490108311041C0700X
MO20030212091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical