Individual
TAMARA THOMAS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
1717 ORANGE TREE DR, EDGEWATER, FL 32132-3313
(386) 451-6840
Mailing address
1717 ORANGE TREE DR, EDGEWATER, FL 32132-3313
(386) 451-6840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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