Edie Henthorne, LISW

NPI #1033573217 in Lorain, Ohio

Provider Information

NPI Number: 1033573217
Entity Type: Individual
Name: Edie Henthorne, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Apr 13, 2016
Last Updated: Feb 11, 2021

Practice Location

Address: 6140 S BROADWAY
City: Lorain
State: Ohio
ZIP Code: 44053-3891
Phone: (440) 233-7232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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