Individual
KERI LYNN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 E WASHINGTON AVE, JONESBORO, AR 72401-3108
(870) 333-5476
(870) 333-5475
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-1235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6896-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227587719
—
AR
Enumeration date
10/04/2011
Last updated
03/21/2022
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