ENNISIA TEKEISHA HENDERSON

COLLEGE PARK, GA
NPI1144687526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  MSW006465)
Enumeration Date2016-01-15
Last Update Date2016-01-15
Business Address
-- ENNISIA TEKEISHA HENDERSON LMSW
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337-3605
Phone number: 770-762-9190
Mailing Address
-- ENNISIA TEKEISHA HENDERSON LMSW
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337-3605
Phone number: 770-762-9190