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Individual

MRS. MORGAN LYNN VIRGINIA HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 SHILOH DR, MOUNT VERNON, IL 62864-7301
(618) 242-6284
Mailing address
107 SHILOH DR, MOUNT VERNON, IL 62864-7301

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
06/29/2018
Last updated
06/29/2018
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