Individual
MS. ALANNA RAYE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 ELSA AVE, WALDORF, MD 20603-4055
(240) 604-0450
Mailing address
3115 ELSA AVE, WALDORF, MD 20603-4055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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