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Individual

CASARAH HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1060 W STATE ROAD 434, LONGWOOD, FL 32750-4919
(407) 307-5336
Mailing address
800 POLK ST, ORLANDO, FL 32805-1637
(321) 999-6382

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/17/2019
Last updated
06/11/2019
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