Individual
JACQUELINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7539 REX HILL TRL, ORLANDO, FL 32818-8768
(407) 497-1439
Mailing address
7539 REX HILL TRL, ORLANDO, FL 32818-8768
(407) 497-1439
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
FL
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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