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Individual

ABIGAIL HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 S MAIN ST, LAKEPORT, CA 95453-5017
(707) 467-2010
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 472-2922

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/12/2010
Last updated
06/25/2019
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