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Individual

BEVERLY HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 708-0890
Mailing address
1107 FAIRWAYS, LEBANON, TN 37087-2262
(615) 708-0890

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/29/2007
Last updated
10/29/2007
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