Individual
KATHRYN CHEEZEM HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1104 LOMBARDY ST, MARION, SC 29571-2005
(843) 431-1100
(843) 431-1103
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4089
(843) 317-4096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
03/21/2007
Last updated
07/08/2007
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