Mary Lisa Henry PH. D., LCSW

NPI 1023136140 - Social Worker - 1041C0700X

NPI Details
NPI 1023136140
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
49 A LENOX POINTE
ATLANTA GA, 30324, US
Phone (404) 869-3707
Fax
Business Location
1523 EMORY RD NE
ATLANTA GA, 30306-2429, US
Phone (404) 869-3707
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number 2472
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According to our database, Dr. Mary Lisa Henry PH. D., LCSW NPI is 1023136140, taxonomy code is 1041C0700X and license number is 2472, license state is located at Georgia. Mary Lisa Henry PH. D., LCSW physically located at 49 A Lenox Pointe, Atlanta GA, 30324. NPI Number Mary Lisa Henry PH. D., LCSW has the Individual type.

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1023136140 NPI number is provided on an as is basis without warranty of any kind. 1023136140 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Lisa Henry PH. D., LCSW are for informational purposes only.