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Individual
KENLYNN N HENRY
Active
Individual
KENLYNN N HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
171M00000X
Case Manager/Care Coordinator
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002447
—
AK
05
—
1002573
—
AK
05
—
1006017
—
AK
05
—
1020986
—
AK
05
—
1584987
—
AK
Enumeration date
11/14/2013
Last updated
11/14/2013
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