Individual
MISS LOVE KRISHAUN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NOBLE ST, SUITE 120, ANNISTON, AL 36201-4659
(256) 741-6160
Mailing address
503 MOUNTAIN ST NW, APT A-2, JACKSONVILLE, AL 36265-2334
(256) 147-6160
(256) 741-6180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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