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Individual

MR. LAWRENCE LEVI HENDERSON

Active
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Individual

MR. LAWRENCE LEVI HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

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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