Individual
MR. CRAIG HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
311 S MADISON AVE, TULSA, OK 74120-3208
(918) 582-0061
Mailing address
2 CORNELIUS CT, SAPULPA, OK 74066-4118
(918) 224-5453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1809
OK
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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