Individual
SANDI DEE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 FOOTHILL BLVD STE 205, ROCK SPRINGS, WY 82901-4758
(307) 212-3284
Mailing address
PO BOX 20310, UNIT# 55984, CHEYENNE, WY 82003
(307) 212-3284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/27/2021
Last updated
11/28/2022
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