Individual
HARESHA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 WHEAT MILL RD, DURHAM, NC 27704-1242
(252) 204-2473
Mailing address
145 W YOUNG AVE, HENDERSON, NC 27536-4148
(252) 204-2473
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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