Organization
DONNA HENDERSON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA HENDERSON LCSW (OWNER)
(503) 838-6144
Entity
Organization
Contact information
Practice address
615 TIMBER LN, MAUPIN, OR 97037-7148
(503) 838-6144
(866) 490-5249
Mailing address
PO BOX 372, MAUPIN, OR 97037-0372
(503) 838-6144
(866) 490-5249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0995
OR
Other
Enumeration date
11/14/2011
Last updated
10/07/2016
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