Individual
MS. BARBARA K HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 FREMONT ST, KIEL, WI 53042-1423
(920) 894-7900
(920) 894-7900
Mailing address
PO BOX 305, KIEL, WI 53042-0305
(920) 894-7900
(920) 894-7900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
506-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39254200
—
WI
Enumeration date
08/23/2006
Last updated
10/27/2011
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