Individual
MS. LYDIA GRAY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0388
(214) 857-0372
Mailing address
801 S POLK ST, 122, DESOTO, TX 75115-7573
(412) 400-5084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW003370E
PA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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