Individual
LORI HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 WIND DRIFT RD, ORLANDO, FL 32809
(407) 908-8485
Mailing address
1642 WIND DRIFT RD, ORLANDO, FL 32809
(407) 908-8485
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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