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1518927573
DANIEL R HENDERSON
GRAND RAPIDS, MI
NPI
1518927573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301007492)
Enumeration Date
2006-03-24
Last Update Date
2007-11-08
Business Address
-- DANIEL R HENDERSON PHD
1870 LEONARD NE
GRAND RAPIDS, MI 49505
Phone number: 616-956-1122
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Mailing Address
-- DANIEL R HENDERSON PHD
PO BOX 30516 DEPT 6001A
LANSING, MI 48909-8016
Phone number: 616-235-2090
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