SHIRLEY HENDERSON

MERIDIAN, ID
NPI1790768455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  LCPC 154)
Enumeration Date2005-11-26
Last Update Date2007-07-08
Business Address
-- SHIRLEY HENDERSON M. Ed., L.P.C.P.,
1250 W CHERRY LN
MERIDIAN, ID 83642-1514
Phone number: 208-887-1911
Mailing Address
-- SHIRLEY HENDERSON M. Ed., L.P.C.P.,
108 W CRESTWOOD DR
MERIDIAN, ID 83642-2800
Phone number: 208-887-1911