Individual
AMANDA ELAINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5355
(434) 984-0023
(434) 984-4852
Mailing address
911 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5355
(434) 984-0023
(434) 984-4852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007123
VA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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