Individual
MRS. DENISE ELLA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
626 WALNUT RIDGE DR, MANCHESTER, MO 63021-7714
(314) 774-2169
Mailing address
626 WALNUT RIDGE DR, MANCHESTER, MO 63021-7714
(314) 774-2169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005630
MO
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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