Individual
MS. MIA DEANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE STE. 1D03, WINN ARMY COMMUNITY HOSPITAL, FT. STEWART, GA 31314-5674
(904) 435-5399
Mailing address
1061 HARMON AVE STE. 1D03, WINN ARMY COMMUNITY HOSPITAL, FT. STEWART, GA 31314-5674
(904) 435-5399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7812
FL
Other
Enumeration date
11/04/2008
Last updated
09/01/2010
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