Individual
MRS. JENNIFER HARTWELL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1535 VANN DR, JACKSON, TN 38305-2095
(901) 355-3876
Mailing address
331 W MAIN ST, HALLS, TN 38040-1418
(901) 355-3876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002328
TN
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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