Individual
DORINDA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
2726 VAN HWY, TYLER, TX 75702-2743
(903) 526-0505
(903) 747-3830
Mailing address
2726 VAN HWY, TYLER, TX 75702-2743
(903) 526-0505
(903) 747-3830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
06598
TX
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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