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1376286005
LEESHAY HENDERSON
GRAND RAPIDS, MI
NPI
1376286005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC 000046740165)
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
LEESHAY HENDERSON
5360 CASCADE RD SE
GRAND RAPIDS, MI 49546-6404
Phone number: 616-278-1201
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Mailing Address
LEESHAY HENDERSON
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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