Individual
MS. IVONNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 KNIGHT ST STE 149, SHREVEPORT, LA 71105-2502
(318) 398-0945
Mailing address
3004 KNIGHT ST STE 149, SHREVEPORT, LA 71105-2502
(318) 398-0945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
01/15/2026
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