Individual
LESLIE SUSAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,PIP
Contact information
Practice address
18 W 11TH ST, ANNISTON, AL 36201-4585
(256) 282-0741
(256) 835-7927
Mailing address
3745 GRAYTON RD, OHATCHEE, AL 36271-6706
(256) 282-0741
(256) 835-7927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1409C
AL
Other
Enumeration date
04/04/2007
Last updated
07/09/2007
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