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Individual

MRS. LAQUAYNA HENLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ALC

Contact information

Practice address
2421 PRESIDENTS DR STE B-21, MONTGOMERY, AL 36116-1632
(334) 539-7017
Mailing address
4652 HARVEST WAY, MONTGOMERY, AL 36106-3149

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AL

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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