GREGORY A HENDERSON

FOND DU LAC, WI
NPI1982826509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  6169-123)
Enumeration Date2007-05-03
Last Update Date2023-09-25
Business Address
Mr. GREGORY A HENDERSON LCSW
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937-2999
Phone number: 920-907-7000
Mailing Address
Mr. GREGORY A HENDERSON LCSW
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: