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1154550689
KATI R HENDERSON
YUCCA VALLEY, CA
NPI
1154550689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
-- KATI R HENDERSON
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- KATI R HENDERSON
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number:
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