Individual
EARTHA D HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5740 PORTSMOUTH DR, MONTGOMERY, AL 36116-5282
(334) 288-8569
Mailing address
5740 PORTSMOUTH DR, MONTGOMERY, AL 36116-5282
(334) 288-8569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2173G
AL
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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