Individual
ANDREA JO HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, MSW, LISW-CP/S
Contact information
Practice address
298 BRANDYMILL BLVD, MYRTLE BEACH, SC 29588-7226
(843) 685-2302
Mailing address
298 BRANDYMILL BLVD, MYRTLE BEACH, SC 29588-7226
(843) 685-2302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13945
SC
1041C0700X
Clinical Social Worker
CW022218
PA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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