Individual
STEPHANIE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6726 W BROWN ST, PEORIA, AZ 85345-6872
(623) 570-2140
Mailing address
PO BOX 8002, SURPRISE, AZ 85374-0116
(623) 570-2140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16413
AZ
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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