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Organization
THERESA M HENDERSON, PA
Active
Organization
THERESA M HENDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA M HENDERSON LCSW (PRESIDENT)
(813) 716-0585
Entity
Organization
Contact information
Practice address
1210 MILLENNIUM PKWY, SUITE 1035, BRANDON, FL 33511-4861
(813) 716-0585
(813) 814-0448
Mailing address
9609 WOODBAY DR, TAMPA, FL 33626-2422
(813) 716-0585
(813) 814-0448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2072
FL
Other
Enumeration date
03/14/2012
Last updated
03/28/2012
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