Individual
MR. LAWRENCE LEVI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
417 HARDING DR, SUITE D, LEBANON, TN 37087-4079
(615) 753-0743
Mailing address
PO BOX 330716, NASHVILLE, TN 37203
(615) 753-0743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1195413
TN
1041C0700X
Clinical Social Worker
1490131167
IL
1041C0700X
Clinical Social Worker
149013167
IL
1041C0700X
Clinical Social Worker
613205
TN
Other
Enumeration date
10/24/2008
Last updated
01/19/2011
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