Individual
CONNITA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1915, NEWARK, DE 19718-2200
(302) 733-6662
(302) 733-2372
Mailing address
4755 OGLETOWN STANTON RD STE 1915, NEWARK, DE 19718-2200
(302) 733-6662
(302) 733-2372
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
G12055
MD
1041C0700X
Clinical Social Worker
Primary
Q1-0011966
DE
1041C0700X
Clinical Social Worker
Q3-0000166
DE
Other
Enumeration date
10/21/2014
Last updated
02/11/2022
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