Individual
MS. CAROLYN J. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
1 MINNI TOHE DR, MINNE TOHE HEALTH CENTER, NEW TOWN, ND 58763-4400
(701) 627-4701
(701) 627-2810
Mailing address
1 MINNI TOHE DR, MINNE TOHE HEALTH CENTER, NEW TOWN, ND 58763-4400
(701) 627-4701
(701) 627-2810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3253
ND
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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