Individual
MS. DEBRA M HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
97 S BUFFALO ST, HAMBURG, NY 14075-6212
(716) 648-0650
Mailing address
97 S BUFFALO ST, HAMBURG, NY 14075-6212
(716) 648-0650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
07/21/2022
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