Kelli Samantha Henderson, BA
NPI #1194003392 in Gautier, Mississippi
Provider Information
- NPI Number
- 1194003392
- Entity Type
- Individual
- Name
- Kelli Samantha Henderson, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BA
- Enumeration Date
- Jul 22, 2011
- Last Updated
- Jul 22, 2011
Practice Location
- Address
- 3407 SHAMROCK CT
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-6429
- Phone
- (228) 497-0690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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