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Individual
MR. ELLIS H HENDERSON
Active
Individual
MR. ELLIS H HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63851
TX
101YM0800X
Mental Health Counselor
63851
TX
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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