Individual
MRS. KRISTAL OLIVIA HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RENEE PL, HAHIRA, GA 31632-3285
(229) 630-0623
Mailing address
3800 RENEE PL, HAHIRA, GA 31632-3285
(229) 630-0623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011503
GA
251E00000X
Home Health Agency
—
GA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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