Individual
COLEEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1055 E CENTERVILLE STATION RD, DAYTON, OH 45459-5500
(937) 241-6403
(937) 439-2984
Mailing address
1055 E CENTERVILLE STATION RD, DAYTON, OH 45459-5500
(937) 241-6403
(937) 439-2984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700205-SUPV
OH
Other
Enumeration date
04/20/2015
Last updated
04/19/2023
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