Individual
MICHAEL DOUGLAS HENLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1226 INDEPENDENCE AVE, KENNETT, MO 63857-1316
(573) 888-5925
Mailing address
1226 INDEPENDENCE AVE, KENNETT, MO 63857-1316
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2025038556
MO
Other
Enumeration date
07/01/2024
Last updated
12/02/2025
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