Individual
SHADOURES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-SSW
Contact information
Practice address
1400 MELBOURNE RD, CHARLOTTESVILLE, VA 22901-3148
(434) 245-2410
Mailing address
545 BURGOYNE RD UNIT 4, CHARLOTTESVILLE, VA 22901-2697
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
PROV-0667224
VA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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