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1952435711
GARY LYNN HENDERSON
ROSEVILLE, CA
NPI
1952435711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc7053)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mr. GARY LYNN HENDERSON MFT
720 SUNRISE AVE #D115
ROSEVILLE, CA 95661-4516
Phone number: 915-201-7348
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Mailing Address
Mr. GARY LYNN HENDERSON MFT
720 SUNRISE AVE #D115
ROSEVILLE, CA 95661-4516
Phone number: 915-201-7348
Copy
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