Individual
TIFFANY MARIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
1100 MAIN ST STE 104, WHEELING, WV 26003-2737
(304) 460-5123
Mailing address
111 PARK VIEW LN STE 204, WHEELING, WV 26003-5406
(304) 243-1865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945014
WV
104100000X
Social Worker
—
—
Other
Enumeration date
06/20/2016
Last updated
03/29/2025
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