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1356856397
SUSAN K HENDERSON
TRAVERSE CITY, MI
NPI
1356856397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
SUSAN K HENDERSON
1363 DOUGLAS DR STE 104
TRAVERSE CITY, MI 49696-8980
Phone number: 231-668-4909
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Mailing Address
SUSAN K HENDERSON
1363 DOUGLAS DR STE 104
TRAVERSE CITY, MI 49696-8980
Phone number: 231-668-4909
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