Individual
MARNI MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
174H00000X
MA
174H00000X
Health Educator
B.S. COMMUNITY HEALT
WA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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