Individual
MR. DARRYL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5710 SIMMONS ST STE 102, N LAS VEGAS, NV 89031-7281
(702) 823-3085
(702) 823-3017
Mailing address
5728 EMERALD VIEW ST, LAS VEGAS, NV 89130-1562
(702) 823-3085
(702) 823-3017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4556-C
NV
Other
Enumeration date
12/14/2007
Last updated
09/29/2009
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