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Individual
TODD ANDREW HENZLER
Active
Individual
TODD ANDREW HENZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C010875
NC
1041C0700X
Clinical Social Worker
Primary
C010875
NC
Other
Enumeration date
12/03/2020
Last updated
02/11/2021
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