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1801031539
TISSIA FAY HENDERSON
INDIANAPOLIS, IN
NPI
1801031539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 20090164A)
Enumeration Date
2008-12-09
Last Update Date
2022-11-14
Business Address
TISSIA FAY HENDERSON
8902 OTIS AVE STE 105B
INDIANAPOLIS, IN 46216-1076
Phone number: 317-414-4126
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Mailing Address
TISSIA FAY HENDERSON
11222 TURFGRASS WAY
INDIANAPOLIS, IN 46236-8303
Phone number: 317-826-6328
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