AUTUMN HENDERSON

BOISE, ID
NPI1477230795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
AUTUMN HENDERSON M. Ed
11632 W SANTA BARBARA DR
BOISE, ID 83709-6638
Phone number: 208-340-5677
Mailing Address
AUTUMN HENDERSON M. Ed
11632 W SANTA BARBARA DR
BOISE, ID 83709-6638
Phone number: 208-340-5677
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