Carolgene Marie Henisa, MS

NPI #1184962243 in Logansport, Indiana

Provider Information

NPI Number
1184962243
Entity Type
Individual
Name
Carolgene Marie Henisa, MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
MS
Enumeration Date
Jan 24, 2013
Last Updated
Jan 24, 2013

Practice Location

Address
1015 MICHIGAN AVE
State
Indiana
ZIP Code
46947-1526
Phone
(574) 722-5151

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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