Individual
MRS. ANGELA MARIE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MSW, LCSW
Contact information
Practice address
1801 BADER AVE, SOUTH BEND, IN 46617-2523
(574) 233-5595
(574) 282-1770
Mailing address
100 NAVARRE PL, STE: 5550, SOUTH BEND, IN 46601-1156
(574) 647-2550
(574) 647-7191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006296A
IN
Other
Enumeration date
10/06/2006
Last updated
02/16/2012
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