Individual
MRS. MONIQUE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11137 TARA BLVD, SUITE 230-154, HAMPTON, GA 30228-1672
(678) 325-7936
Mailing address
11137 TARA BLVD, SUITE 230-154, HAMPTON, GA 30228-1672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/29/2009
Last updated
11/29/2009
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