Individual
MS. SANDRA CHRISTINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 671-5920
(414) 645-7850
Mailing address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 671-5920
(414) 645-7850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3523123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40963600
—
WI
Enumeration date
03/07/2007
Last updated
02/08/2008
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