KATHLEEN HENDERSON

BLOOMFIELD, NM
NPI1174007157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NM  B-08513)
Enumeration Date2018-09-17
Last Update Date2018-09-17
Business Address
KATHLEEN HENDERSON LBSW
310 LA JARA ST
BLOOMFIELD, NM 87413-6626
Phone number: 505-634-3863
Mailing Address
KATHLEEN HENDERSON LBSW
310 LA JARA ST
BLOOMFIELD, NM 87413-6626
Phone number: 505-634-3863
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