Individual
MS. VICKIE L HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 CONCORD ST, STE.114, KNOXVILLE, TN 37919-3307
(865) 523-6273
(865) 523-7596
Mailing address
601 CONCORD ST, STE.114, KNOXVILLE, TN 37919-3307
(865) 523-6273
(865) 523-7596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000000105
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000991
BC/BS
TN
Enumeration date
05/23/2006
Last updated
07/08/2007
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