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Individual

MRS. CHRISTINA HENDERSON-BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMSW

Contact information

Practice address
388 STATE ST STE 340, SALEM, OR 97301-3536
(971) 446-1306
Mailing address
388 STATE ST STE 340, SALEM, OR 97301-3536
(971) 446-1306

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801119400
MI
1041C0700X
Clinical Social Worker
Primary
L10362
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500729525
OR
Enumeration date
06/12/2017
Last updated
01/09/2025
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