Individual
LORI HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
123 WHITAKER RD, TOWNVILLE, SC 29689-4044
(760) 518-8819
Mailing address
123 WHITAKER RD, TOWNVILLE, SC 29689-4044
(760) 518-8819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13068
SC
1041C0700X
Clinical Social Worker
Primary
26414
CA
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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