Individual
MEGAN RENAE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2055 N KOLB RD STE 121, TUCSON, AZ 85715-4099
(520) 838-0918
Mailing address
2055 N KOLB RD STE 121, TUCSON, AZ 85715-4099
(520) 838-0918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-19573
LICENSE
AZ
Enumeration date
10/25/2021
Last updated
10/25/2021
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