Most Relevant Information
Provider Data
| NPI Number: | 1003637554 |
| Provider Name: | KENDRA DAWN HENRY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 150114659 |
Most Important Dates
| Enumeration Date: | 10/17/2024 |
| Last Updated: | 10/17/2024 |
Provider Practice Location
4326 W MONTROSE AVE
CHICAGO
IL
606412016
Practice Location Phone/Fax
| Phone: | 7738839100 |
| Fax: | 7738830005 |
Provider Mailing Location
4326 W MONTROSE AVE
CHICAGO
IL
606412016
Provider Mailing Phone/Fax
| Phone: | 7738839100 |
| Fax: | 7738830005 |