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1801228051
TIMOTHY DAVID HENSON
PORTAGE, MI
NPI
1801228051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095617)
Enumeration Date
2013-07-30
Last Update Date
2023-09-20
Business Address
TIMOTHY DAVID HENSON LMSW
8080 MOORSBRIDGE RD STE 102
PORTAGE, MI 49024-4422
Phone number: 269-762-1010
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Mailing Address
TIMOTHY DAVID HENSON LMSW
8080 MOORSBRIDGE RD STE 102
PORTAGE, MI 49024-4422
Phone number: 269-762-1010
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