Individual
MS. MIRA DENISE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
115 DOCTORS PARK, LINCOLNTON, NC 28092-4407
(704) 735-2441
Mailing address
2356 E MAIDEN RD, MAIDEN, NC 28650-8527
(828) 428-8814
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
NC
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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