Individual
MR. PAUL L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 246-0937
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-3311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
01/15/2021
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