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Individual

JENNA LYNN HENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
872 WALTER STUART LOOP, WHITEVILLE, TN 38075-6010
(731) 630-2217
Mailing address
872 WALTER STUART LOOP, WHITEVILLE, TN 38075-6010

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/12/2026
Last updated
08/12/2026
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