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1790110682
KEITH HENDERSON
PHOENIX, AZ
NPI
1790110682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
-- KEITH HENDERSON
4449 N 12TH ST STE A1
PHOENIX, AZ 85014-4596
Phone number: 602-279-1427
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Mailing Address
-- KEITH HENDERSON
PO BOX 16906
PHOENIX, AZ 85011-6906
Phone number: 602-279-1427
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