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Individual

BRENDA LEE HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BACHELOR OF ARTS DEG

Contact information

Practice address
2034 SUMMIT DRIVE, SHERIDAN, WY 82801
(307) 751-8705
Mailing address
2034 SUMMIT DRIVE, SHERIDAN, WY 82801
(307) 751-8705

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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