Individual
CHRISTA R HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 OLD BARN CT, INDIANAPOLIS, IN 46268-4045
(317) 507-5853
Mailing address
6301 OLD BARN CT, INDIANAPOLIS, IN 46268-4045
(317) 507-5853
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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