Individual
JENNIFER HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST STE 202, PADUCAH, KY 42001-0713
(270) 442-5088
(270) 442-5729
Mailing address
890 E SLAUGHTER RD, MAYFIELD, KY 42066-7226
(270) 978-1087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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