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Individual

IRULAN ROSEMARIE HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CARRIAGE LN STE B102, CHARLESTON, SC 29407-6043
(203) 731-7605
Mailing address
1208 RED BUCKEYE CT, MONCKS CORNER, SC 29461-8600
(203) 731-7605

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30238
SC

Other

Enumeration date
02/06/2024
Last updated
06/25/2025
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