Individual
CLAUDETTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3231 S HALSTED STREET PMB 299, CHICAGO, IL 60608
(872) 221-2585
Mailing address
3231 S HALSTED STREET PMB 299, CHICAGO, IL 60608
(872) 221-2585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150014322
IL
1041C0700X
Clinical Social Worker
Primary
149019776
IL
Other
Enumeration date
03/10/2018
Last updated
06/22/2021
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