Individual
JODI ANNETTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 467-7894
Mailing address
322 VIOLETTA AVE, NORTH LAS VEGAS, NV 89031-1784
(443) 944-5548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008515
VA
1041C0700X
Clinical Social Worker
2241C
AL
1041C0700X
Clinical Social Worker
5564
TN
Other
Enumeration date
03/22/2011
Last updated
07/18/2024
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