Individual
MISS KEYAIRRA S HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MA
Contact information
Practice address
310 W 3RD NORTH ST, MORRISTOWN, TN 37814-4038
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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