Individual
ASHLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 W BELMONT AVE STE 501, CHICAGO, IL 60657-3242
(312) 508-3645
Mailing address
4815 N CHRISTIANA AVE APT 3E, CHICAGO, IL 60625-5219
(407) 452-4079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020627
IL
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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