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1013636513
CHALISE HENDERSON
GARDENA, CA
NPI
1013636513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
CHALISE HENDERSON
1515 W 190TH ST STE 300
GARDENA, CA 90248-4925
Phone number: 310-819-4523
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Mailing Address
CHALISE HENDERSON
817 W 80TH ST # 817
LOS ANGELES, CA 90044-5015
Phone number: 213-564-2636
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