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Individual

MRS. SHEA CECIL HENLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2155 CHAMPLAIN ST NW, WASHINGTON, DC 20009-2795
(202) 540-9857
(202) 232-8494
Mailing address
2155 CHAMPLAIN ST NW, WASHINGTON, DC 20009-2795
(202) 540-9857
(202) 232-8494

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
224512
MA
1041C0700X
Clinical Social Worker
Primary
LC200001380
DC

Other

Enumeration date
04/30/2021
Last updated
10/19/2021
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