Individual
ALYCIA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SW 28TH ST, FORT LAUDERDALE, FL 33315-2612
(954) 357-4848
Mailing address
3540 NW 111TH AVE, SUNRISE, FL 33351-7503
(954) 326-0807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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