Individual
MATTHEW SCOTT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3155 MILL ST NE, COVINGTON, GA 30014-2542
(678) 712-6520
(678) 712-6521
Mailing address
3155 MILL ST NE, COVINGTON, GA 30014-2542
(678) 712-6520
(678) 712-6521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006075
GA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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