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1083761241
HAROLD JORDAN HENDERSON
WASILLA, AK
NPI
1083761241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AK 122)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Mr. HAROLD JORDAN HENDERSON LPC
1075 CHECK ST SUITE 101
WASILLA, AK 99654-8047
Phone number: 907-357-1629
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Mailing Address
Mr. HAROLD JORDAN HENDERSON LPC
1075 CHECK ST SUITE 101
WASILLA, AK 99654-8047
Phone number: 907-357-1629
Copy
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