Organization
CONSTANTLY EVOLVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN K HENDERSON LCSW-C (MENTAL HEALTH THERAPIST)
(443) 219-8482
Entity
Organization
Contact information
Practice address
10451 MILL RUN CIR STE 400, OWINGS MILLS, MD 21117-5594
(443) 219-8482
Mailing address
10451 MILL RUN CIR STE 400, OWINGS MILLS, MD 21117-5594
(443) 219-8482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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