Individual
DR. ROBERT S. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 HIGH ST., SOUTH GLASTONBURY, CT 06073
(860) 659-0183
Mailing address
244 WOOD POND RD, GLASTONBURY, CT 06033-3704
(860) 633-6311
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
000147
CT
Other
Enumeration date
11/18/2006
Last updated
07/08/2007
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