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Individual
ROSE L HENDERSON
Active
Individual
ROSE L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC,PC-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0006015-SUPV
OH
101YP2500X
Professional Counselor
E.0006015
OH
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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