Latasha Spencer Henderson, LICSW

NPI #1093214181 in Mc Calla, Alabama

Provider Information

NPI Number: 1093214181
Entity Type: Individual
Name: Latasha Spencer Henderson, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LICSW
Enumeration Date: Feb 5, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 5700 SERENE RIDGE CIR
City: Mc Calla
State: Alabama
ZIP Code: 35111-3204
Phone: (205) 540-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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