Stacey L Henken

NPI #1891140869 in Niles, Illinois

Provider Information

NPI Number: 1891140869
Entity Type: Individual
Name: Stacey L Henken
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 999 CIVIC CENTER DRIVE
Address 2: THIRD FLOOR
City: Niles
State: Illinois
ZIP Code: 60714
Phone: (847) 588-8460

Specialties & Taxonomy Codes

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

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