Individual
DELYNDA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 GRAND VIEW CIR, EVANSTON, WY 82930-5618
(307) 789-5455
Mailing address
225 GRAND VIEW CIR, EVANSTON, WY 82930-5618
(307) 789-5455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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