Individual
HENRIETTA LOUISE HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
838 E HARRISON ST, DANVILLE, IL 61832-5942
(217) 504-6658
Mailing address
838 E HARRISON ST, DANVILLE, IL 61832-5942
(217) 504-6658
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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