Individual
MARY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 S WOODLAWN AVE, LIMA, OH 45805-3165
(419) 234-7677
Mailing address
322 S WOODLAWN AVE, LIMA, OH 45805-3165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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