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1306212881
AISHA HENDERSON
JACKSON, MI
NPI
1306212881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801098541)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
AISHA HENDERSON
729 WEST MICHIGAN AVENUE
JACKSON, MI 49201
Phone number: 517-789-6444
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Mailing Address
AISHA HENDERSON
2682 BUTTERNUT
DETROIT, MI 48216
Phone number: 313-207-0231
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