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1053167247
LACEY DELAINE HENDERSON
NEW YORK, NY
NPI
1053167247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 096065)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
LACEY DELAINE HENDERSON LCSW
114 5TH AVE FL 2
NEW YORK, NY 10011-5611
Phone number: 646-453-6777
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Mailing Address
LACEY DELAINE HENDERSON LCSW
319 W 134TH ST APT 1W
NEW YORK, NY 10030-2718
Phone number: 713-254-0298
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