Individual
MATTHEW MORGAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4220 DUNCAN AVE STE 201, SAINT LOUIS, MO 63110-1103
(210) 274-6609
Mailing address
4912 PERSHING PL, SAINT LOUIS, MO 63108-1202
(210) 274-6609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1535569-01
—
TX
Enumeration date
01/13/2007
Last updated
12/12/2023
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