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1356958334
ILISA HENDERSON
SALISBURY, NC
NPI
1356958334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014518)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
Mrs. ILISA HENDERSON MSW LCSWA
714 S MAIN ST
SALISBURY, NC 28144-5412
Phone number: 866-495-3651
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Mailing Address
Mrs. ILISA HENDERSON MSW LCSWA
10111 PINTAIL PL APT 105
CHARLOTTE, NC 28269-1912
Phone number: 609-472-9864
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