Individual
DAWN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 STEELE ST, JACKSONVILLE, FL 32209-6130
(904) 713-7217
Mailing address
1535 STEELE ST, JACKSONVILLE, FL 32209-6130
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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