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1184064115
LATINEYA DETRICE HENDERSON
BEAUMONT, TX
NPI
1184064115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 39884)
Enumeration Date
2013-07-05
Last Update Date
2023-02-06
Business Address
LATINEYA DETRICE HENDERSON LCSW-S
5720 BRETT LN
BEAUMONT, TX 77713-9207
Phone number: 409-338-2193
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Mailing Address
LATINEYA DETRICE HENDERSON LCSW-S
5720 BRETT LN
BEAUMONT, TX 77713-9207
Phone number: 409-338-2193
Copy
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