Individual
ENNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5630 CROWDER BLVD STE 208, NEW ORLEANS, LA 70127-2444
(504) 241-6006
(504) 241-6007
Mailing address
6146 W JACKSON ST, BAY ST LOUIS, MS 39520-8257
(601) 325-4480
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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