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1568754950
MICAHAEL HENDERSON
HARRISON, AR
NPI
1568754950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-05-04
Last Update Date
2011-05-04
Business Address
-- MICAHAEL HENDERSON MHPP
121 SAWGRASS PT
HARRISON, AR 72601-3072
Phone number: 870-391-3871
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Mailing Address
-- MICAHAEL HENDERSON MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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