RUSSELL LEE HENDERSON

MACON, GA
NPI1538366000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW001731)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
Miss RUSSELL LEE HENDERSON LCSW
175 EMERY HWY
MACON, GA 31217-3692
Phone number: 478-751-4446
Mailing Address
Miss RUSSELL LEE HENDERSON LCSW
175 EMERY HWY
MACON, GA 31217-3692
Phone number: 478-751-4446
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