Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801072278 | MI |
NPI | 1003039181 |
---|---|
Provider Name | Ms. Eileen M. Mchenry |
First Address | Howell, MI 48843-8503 |
Second Address | Howell, MI 48843-8503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |