Individual
THOMAS J HENRICH
Active
Individual
THOMAS J HENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
01241
IA
1041C0700X
Clinical Social Worker
01241
IA
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
00003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01241
MSW LICENSES
IA
Enumeration date
03/31/2006
Last updated
03/28/2012
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