Individual
MRS. MARISSA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MABRY HOOD RD, KNOXVILLE, TN 37922-2219
(865) 982-5225
Mailing address
13066 SANDBOURNE N, OLIVE BRANCH, MS 38654-7508
(413) 896-7612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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