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Individual

CHRISTINA EILEEN HENCKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATR

Contact information

Practice address
326 H STREET CAMP LEJEUNE, JACKSONVILLE, NC 28547-7451
(302) 559-8485
Mailing address
11300 US HIGHWAY 19 N, CLEARWATER, FL 33764-7451
(302) 559-8485

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
22-591
FL

Other

Enumeration date
01/26/2024
Last updated
05/31/2024
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