SUSAN K HENDERSON

SOUTH BEND, IN
NPI1225310402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  86000033A)
Enumeration Date2011-09-14
Last Update Date2011-09-14
Business Address
-- SUSAN K HENDERSON LAC
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
Mailing Address
-- SUSAN K HENDERSON LAC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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