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Individual

ANGELA HENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15311 CORTEZ BLVD, BROOKSVILLE, FL 34613-6005
(866) 762-1743
(727) 816-1222
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW22829
FL
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
23309
MN

Other

Enumeration date
07/25/2019
Last updated
08/28/2024
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