Individual
MS. RUTH ELAINE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FELLOW, AAPC
Contact information
Practice address
6512 ROBAR TESORA ST, NAVARRE, FL 32566-8933
(330) 701-4659
Mailing address
6512 ROBAR TESORA ST, NAVARRE, FL 32566-8933
(330) 701-4659
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
11/06/2014
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