Individual
AISHA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
729 WEST MICHIGAN AVENUE, JACKSON, MI 49201
(517) 789-6444
Mailing address
2682 BUTTERNUT, DETROIT, MI 48216
(313) 207-0231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098541
MI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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