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1285209122
DAVID WILLIAM HENDERSON
DIAMOND SPRINGS, CA
NPI
1285209122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-24
Last Update Date
2023-05-16
Business Address
DAVID WILLIAM HENDERSON
4250 FOWLER LN
DIAMOND SPRINGS, CA 95619-9781
Phone number: 530-626-3105
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Mailing Address
DAVID WILLIAM HENDERSON
4250 FOWLER LN
DIAMOND SPRINGS, CA 95619-9781
Phone number: 530-626-3105
Copy
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