Individual
MRS. LETETIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4422
(318) 212-1193
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4422
(318) 212-1193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34622
TX
104100000X
Social Worker
Primary
4511
LA
Other
Enumeration date
10/16/2006
Last updated
01/19/2016
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