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1295281731
TERRIE HENDERSON
BURLINGAME, CA
NPI
1295281731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- TERRIE HENDERSON
826 MAHLER RD
BURLINGAME, CA 94010-1604
Phone number: 650-689-5597
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Mailing Address
-- TERRIE HENDERSON
826 MAHLER RD
BURLINGAME, CA 94010-1604
Phone number: 650-689-5597
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