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Individual

ANNA HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
260 JEFFERSON AVE SE STE 221, GRAND RAPIDS, MI 49503-4597
(616) 685-4290
(616) 685-4290
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6974
(800) 494-5797

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801118941
MI

Other

Enumeration date
02/27/2023
Last updated
08/31/2024
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