Individual
RILEY MAE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
930 IOWA ST STE 4, LAWRENCE, KS 66044-1869
(785) 289-9917
Mailing address
930 IOWA ST STE 4, LAWRENCE, KS 66044-1869
(785) 289-9917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.2608239
OH
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
07328
KS
Other
Enumeration date
10/31/2023
Last updated
07/29/2026
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