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Organization
SUSAN T HENDERSON
Active
Organization
SUSAN T HENDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN TRIMBLE HENDERSON LCSW (OWNER SELF EMPLOYED)
(310) 451-2107
Entity
Organization
Contact information
Practice address
1448 15TH ST STE 203, SANTA MONICA, CA 90404-2756
(310) 451-2107
(310) 451-9665
Mailing address
1448 15TH ST STE 203, SANTA MONICA, CA 90404-2756
(310) 451-2107
(310) 451-9665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS9451
CA
Other
Enumeration date
12/19/2006
Last updated
11/08/2010
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