Individual
ALEXANDER GLENN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 BEACON BLVD STE 103, WEST SACRAMENTO, CA 95691-3467
(916) 462-3100
Mailing address
3050 BEACON BLVD STE 103, WEST SACRAMENTO, CA 95691-3467
(916) 462-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/19/2022
Last updated
06/19/2023
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