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1811646656
KEL K HENDERSON
ORANGE, CA
NPI
1811646656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-03-21
Last Update Date
2022-12-05
Business Address
KEL K HENDERSON
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868-4633
Phone number: 949-357-2556
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Mailing Address
KEL K HENDERSON
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868-4633
Phone number: 493-572-5569
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