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1194186353
SHENISE NICOLE HENDERSON
PHILADELPHIA, PA
NPI
1194186353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW019233)
Enumeration Date
2016-03-16
Last Update Date
2016-10-03
Business Address
-- SHENISE NICOLE HENDERSON LCSW
8122 FORREST AVE
PHILADELPHIA, PA 19150-2402
Phone number: 267-471-9849
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Mailing Address
-- SHENISE NICOLE HENDERSON LCSW
8122 FORREST AVE
PHILADELPHIA, PA 19150-2402
Phone number:
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