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1023393923
JASON HENLE
AUGUSTA, GA
NPI
1023393923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY003374)
Enumeration Date
2011-10-12
Last Update Date
2023-07-28
Business Address
JASON HENLE PhD
997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912-2613
Phone number: 706-721-6597
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Mailing Address
JASON HENLE PhD
1120 15TH ST STE BI1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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