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Individual
IRA HENTHORNE
Active
Individual
IRA HENTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/10/2022
Last updated
11/16/2023
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