Individual
MARY CHRISTINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(315) 788-1530
(315) 755-2037
Mailing address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(315) 788-1530
(315) 755-2037
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
361911-1
NY
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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