Individual
ANDREA LEIGH HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
(931) 721-3313
Mailing address
107 DEER TRL, CUMBERLAND CITY, TN 37050-4371
(931) 237-0716
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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