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1619217650
FANITA SANDERS HENDERSON
ROCKVILLE CENTRE, NY
NPI
1619217650
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Former Name
FANITA SANDERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 004277)
Enumeration Date
2013-02-28
Last Update Date
2013-02-28
Business Address
-- FANITA SANDERS HENDERSON
100 N VILLAGE AVE SUITE 17
ROCKVILLE CENTRE, NY 11570-3767
Phone number: 516-330-0870
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Mailing Address
-- FANITA SANDERS HENDERSON
793 E CARL AVE
NORTH BALDWIN, NY 11510-1902
Phone number: 516-330-0870
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