Individual
MRS. DANIELLE EVETTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
16464 VERONICA AVE, EASTPOINTE, MI 48021-3056
(313) 657-0748
Mailing address
16464 VERONICA AVE, EASTPOINTE, MI 48021-3056
(313) 657-0748
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
MI
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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