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Individual

AMYRA W. HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1866 SHERIDAN RD, SUITE 305, HIGHLAND PARK, IL 60035-2547
(847) 380-2591
(312) 857-1157
Mailing address
2847 IDLEWOOD LN, HIGHLAND PARK, IL 60035-1125
(847) 380-2591
(312) 857-1157

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001708
IL
1041S0200X
School Social Worker
1143448
IL

Other

Enumeration date
04/05/2015
Last updated
04/05/2015
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