Individual
MS. AMANDA JO HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9307 W FOXTAIL LN, SPOKANE, WA 99224-6078
(406) 437-2931
Mailing address
9307 W FOXTAIL LN, SPOKANE, WA 99224-6078
(406) 437-2931
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2484
MT
1041C0700X
Clinical Social Worker
6801097952
MI
1041C0700X
Clinical Social Worker
Primary
LW61221937
WA
Other
Enumeration date
12/04/2012
Last updated
03/02/2026
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