Individual
PAMELA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
Mailing address
1700 FOUNTAIN CT, APT. 2404, COLUMBUS, GA 31904-1606
(706) 571-3163
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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