Individual
MS. GWENDOLYN ORCHID HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 636-4060
(702) 636-4079
Mailing address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 636-4060
(702) 633-4079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801067541
MI
Other
Enumeration date
07/27/2006
Last updated
04/20/2009
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