MARY G HENEHAN

ELKHART, IN
NPI1184673766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004155)
Enumeration Date2006-05-09
Last Update Date2011-08-01
Business Address
-- MARY G HENEHAN LCSW
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
Mailing Address
-- MARY G HENEHAN LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234