Individual
MRS. LENA DIANCE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
126 N. BELL, SHAWNEE, OK 74801
(405) 275-7100
Mailing address
126 N. BELL, SHAWNEE, OK 74801
(405) 275-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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