Individual
SARAH KATHERINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E ST APT 1, CHARLESTON, IL 61920-1387
(630) 346-1457
Mailing address
125 E ST APT 1, CHARLESTON, IL 61920-1387
(630) 346-1457
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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