Nicole Delores Henson

NPI #1013204544 in Parkville, Missouri

Provider Information

NPI Number
1013204544
Entity Type
Individual
Name
Nicole Delores Henson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jul 5, 2011
Last Updated
Aug 5, 2015

Practice Location

Address
9310 NW 59TH TER
ZIP Code
64152-3536
Phone
(913) 909-5205

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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