Individual
CAROL ANN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
4545 CRAIN HWY # 1050, WHITE PLAINS, MD 20695-3045
(301) 609-6728
(301) 609-6741
Mailing address
4545 CRAIN HWY, P.O. BOX 1050, WHITE PLAINS, MD 20695-3045
(301) 609-6728
(301) 609-6741
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R130211
MD
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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