Individual
MRS. DEIDRE M HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 CALUMET ST, WATERBURY, CT 06710-1201
(203) 627-8728
(203) 437-8119
Mailing address
PO BOX 8776, NEW HAVEN, CT 06531-0776
(203) 627-8728
(203) 437-8119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
145
CT
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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