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1003587122
BROOKE HENDERSON
CHICAGO, IL
NPI
1003587122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-09-28
Last Update Date
2023-04-20
Business Address
BROOKE HENDERSON
1024 W DAKIN ST APT 1W
CHICAGO, IL 60613-2991
Phone number: 916-765-6942
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Mailing Address
BROOKE HENDERSON
1024 W DAKIN ST APT 1W
CHICAGO, IL 60613-2991
Phone number: 916-765-6942
Copy
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