Individual
KIMBERLY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MAIN ST, CENTERVILLE, IN 47330-1337
(765) 288-1928
Mailing address
301 E MAIN ST, CENTERVILLE, IN 47330-1337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006135A
IN
1041C0700X
Clinical Social Worker
99043997A
IN
Other
Enumeration date
11/06/2006
Last updated
07/20/2020
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