Individual
JENNIFER HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
545 WILLOW ST, VINCENNES, IN 47591-1064
(812) 882-0509
Mailing address
545 WILLOW ST, VINCENNES, IN 47591-1064
(812) 882-0509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004197A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34004197A
LICENSE
IN
Enumeration date
03/08/2019
Last updated
03/08/2019
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