Individual
MS. ANNETTE MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
809 CENTER ST, SUITE 4, LANSING, MI 48906-5258
(517) 367-2489
Mailing address
809 CENTER ST, SUITE 4, LANSING, MI 48906-5258
(517) 367-2489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801079498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008980640
BCBS-TRADITIONAL
MI
Enumeration date
08/06/2007
Last updated
05/09/2008
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