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Individual
SHONTE MARIE HENDERSON
Active
Individual
SHONTE MARIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
499860
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
499860
OH
163WC0400X
Case Management Registered Nurse
499860
OH
163WC1500X
Community Health Registered Nurse
499860
OH
163WH0200X
Home Health Registered Nurse
499860
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
499860
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
499860
OH
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
RW144016
OH
Other
Enumeration date
10/16/2013
Last updated
03/11/2025
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