Individual
HEATHER B HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1951 GAULT AVE N, FORT PAYNE, AL 35967-3417
(256) 273-6800
Mailing address
1951 GAULT AVE N, FORT PAYNE, AL 35967-3417
(256) 273-6800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4902C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4902C
STATE LICENSE
AL
Enumeration date
11/09/2021
Last updated
05/04/2023
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