Individual
MR. JOSEPH GREGORY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3717 BOUNDARY BAY DR, INDIANAPOLIS, IN 46217-9114
(317) 919-7147
Mailing address
3717 BOUNDARY BAY DR, INDIANAPOLIS, IN 46217-9114
(317) 919-7147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008462A
IN
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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