Individual
AMBER REBECCA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CPS-AD
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2290 CRYSTAL CT, LOGANVILLE, GA 30052-4481
(678) 769-2362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012171
GA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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