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1053799817
CHARLES HENDERSON
TULSA, OK
NPI
1053799817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
CHARLES HENDERSON
5525 E 51ST ST STE 400
TULSA, OK 74135-7467
Phone number: 918-712-0859
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Mailing Address
CHARLES HENDERSON
11115 E 29TH ST
TULSA, OK 74129-7819
Phone number: 918-933-8124
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