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Individual

ANN MARIE HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
501 HIGHWAY 13 E, SUITE 116, BURNSVILLE, MN 55337-2884
(651) 365-3588
(365) 681-9317
Mailing address
501 HIGHWAY 13 E, SUITE 116, BURNSVILLE, MN 55337-2884
(651) 365-3588
(365) 681-9317

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16620
MN

Other

Enumeration date
10/11/2006
Last updated
07/09/2007
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