Individual
PATRICE L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
33 E 114TH ST, CHICAGO, IL 60628-4921
(773) 660-4630
(773) 660-4650
Mailing address
33 E 114TH ST, CHICAGO, IL 60628-4921
(773) 660-4630
(773) 660-4650
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00105739
IL
Other
Enumeration date
04/25/2011
Last updated
05/02/2012
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