MARTHA LYNN HENSHAW

JACKSON, MS
NPI1124118856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
-- MARTHA LYNN HENSHAW B.S.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-364-1254
Mailing Address
-- MARTHA LYNN HENSHAW B.S.
28 SANDWAY DR
BRANDON, MS 39042-2160
Phone number: