Individual
ABIGAIL HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
899 N MILL ST, NAPERVILLE, IL 60563-2909
(630) 420-6504
Mailing address
899 N MILL ST, NAPERVILLE, IL 60563-2909
(630) 420-6504
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1105956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362745691
—
IL
Enumeration date
08/23/2016
Last updated
08/23/2016
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