Individual
DIERDRE HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 W 12TH ST STE 201, LITTLE ROCK, AR 72204-2451
(501) 663-1837
Mailing address
1410 ROBINS ST APT 22, CONWAY, AR 72034-6577
(901) 238-6556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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