Individual
DR. MARY LISA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D., LCSW
Contact information
Practice address
49 A LENOX POINTE, ATLANTA, GA 30324
(404) 869-3707
Mailing address
1523 EMORY RD NE, ATLANTA, GA 30306-2429
(404) 869-3707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2472
GA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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