Provider Information for 1710244314
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Ms. JOHANNA HELEN HENRY LMSW
Sex: Female
NPI: 1710244314
Last Updated: 2012-04-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1710244314 | ||||||||||||
| Enumeration Date | 2012-04-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 340 ARGYLE RD BROOKLYN, NY 11218-4342 United States Phone: 510-684-1783 | Fax: | ||||||||||||
| Primary Practice Address | 340 ARGYLE RD BROOKLYN, NY 11218-4342 United States Phone: 510-684-1783 | Fax: | ||||||||||||
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