Individual
MAREON VINCENT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
310 3RD AVE NE STE 109, ISSAQUAH, WA 98027-3346
(425) 659-3010
Mailing address
807 S ORCHARD ST, TACOMA, WA 98465-2528
(253) 241-6871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60765136
WA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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