Individual
JANELLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24260 BLACKSTONE ST, OAK PARK, MI 48237-1653
(734) 883-5286
Mailing address
10400 STOEPEL STREET, DETROIT, MI 48204
(313) 744-2040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088041
MI
1041C0700X
Clinical Social Worker
6801088041
MI
251B00000X
Case Management Agency
6801088041
MI
Other
Enumeration date
11/17/2011
Last updated
08/01/2017
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