Individual
MR. WILLIAM BLAINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 MALLARD STREET, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-8187
Mailing address
124 MALLARD STREET, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-8187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
01/22/2007
Last updated
07/08/2007
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