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Individual

MRS. ELIZABETH ANN HENLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2755 S 4TH AVE, BLDG 3 STE 104, YUMA, AZ 85364-7236
(928) 329-9313
(928) 329-9719
Mailing address
2755 S 4TH AVE, BLDG 3 STE104, YUMA, AZ 85364-7236
(928) 329-9313
(928) 329-9719

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
623357
AZ

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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