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Individual

MRS. JAIME B. HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778
(847) 492-0320
Mailing address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778
(847) 492-0320

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000752
IL

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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