Kathleen Henderson, LBSW
NPI #1174007157 in Bloomfield, New Mexico
Provider Information
- NPI Number
- 1174007157
- Entity Type
- Individual
- Name
- Kathleen Henderson, LBSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - School
- Credential
- LBSW
- Enumeration Date
- Sep 17, 2018
- Last Updated
- Sep 17, 2018
Practice Location
- Address
- 310 LA JARA ST
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413-6626
- Phone
- (505) 634-3863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - School — School |
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