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1144687526
ENNISIA TEKEISHA HENDERSON
COLLEGE PARK, GA
NPI
1144687526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA MSW006465)
Enumeration Date
2016-01-15
Last Update Date
2016-01-15
Business Address
-- ENNISIA TEKEISHA HENDERSON LMSW
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337-3605
Phone number: 770-762-9190
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Mailing Address
-- ENNISIA TEKEISHA HENDERSON LMSW
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337-3605
Phone number: 770-762-9190
Copy
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