Most Relevant Information
Provider Data
| NPI Number: | 1003247115 |
| Provider Name: | AMANDA B HENSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149016029 |
Most Important Dates
| Enumeration Date: | 11/29/2013 |
| Last Updated: | 11/29/2013 |
Provider Practice Location
1020 S 5TH ST
SPRINGFIELD
IL
627032312
Practice Location Phone/Fax
| Phone: | 2175443143 |
| Fax: |
Provider Mailing Location
1020 S 5TH ST
SPRINGFIELD
IL
627032312
Provider Mailing Phone/Fax
| Phone: | 2175443143 |
| Fax: |