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1235309394
KATHY A. HENDERSON
DETROIT, MI
NPI
1235309394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: MI 1-00030)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
-- KATHY A. HENDERSON CAC-1
19941 GALLAGHER ST.
DETROIT, MI 48234-1655
Phone number: 313-331-8990
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Mailing Address
-- KATHY A. HENDERSON CAC-1
19941 GALLAGHER ST
DETROIT, MI 48234-1655
Phone number: 313-331-8990
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