Individual
MRS. LAVONNE CATHERINEF HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N 4TH ST STE 4, NORFOLK, NE 68701-4068
(402) 379-4632
(402) 379-4665
Mailing address
123 N 4TH ST STE 4, NORFOLK, NE 68701-4068
(402) 379-4632
(402) 379-4665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1844
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251194-00
—
NE
Enumeration date
12/26/2006
Last updated
07/08/2007
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