Individual
KIMBERLY ANNE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
69 N CHADBOURNE ST, SAN ANGELO, TX 76903-5848
(325) 710-9968
Mailing address
PO BOX 2342, SAN ANGELO, TX 76902-2342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107253
TX
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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