Individual
MARLENE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
(740) 354-0270
Mailing address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1454826
OH
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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