Individual
MISS KATHERINE YVETTE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 ROSS AVE, 225, DALLAS, TX 75202-6753
(214) 986-1162
Mailing address
1001 ROSS AVE APT 225, DALLAS, TX 75202-1939
(214) 986-1162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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