Individual
MRS. MARIA ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(509) 261-1375
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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