EBONIE NICOLE HENDERSON

TIGARD, OR
NPI1730367616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C006788)
Enumeration Date2008-02-04
Last Update Date2024-03-25
Business Address
EBONIE NICOLE HENDERSON
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223-8364
Phone number: 503-342-2510
Mailing Address
EBONIE NICOLE HENDERSON
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223-8364
Phone number: 503-342-2510