Marcellus Perris Henderson

NPI #1265925424 in Waskom, Texas

Provider Information

NPI Number
1265925424
Entity Type
Individual
Name
Marcellus Perris Henderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 12, 2018
Last Updated
Jun 12, 2018

Practice Location

Address
725 W TEXAS AVE APT 4031
City
Waskom
State
Texas
ZIP Code
75692-9516
Phone
(318) 861-8938

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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