Individual
CHARLES EDWARD HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8902 OTIS AVE STE 105B, INDIANAPOLIS, IN 46216-1076
(317) 414-4126
(317) 723-3615
Mailing address
8902 OTIS AVE STE 105B, INDIANAPOLIS, IN 46216-1076
(317) 414-4126
(317) 723-3615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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