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Individual

ALEX FITZGERALD HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Mailing address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
135125
CA
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner

Other

Enumeration date
07/08/2020
Last updated
07/16/2024
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