Alice Henderson

NPI #1306414198 in College Place, Washington

Provider Information

NPI Number: 1306414198
Entity Type: Individual
Name: Alice Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 16, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 1250 SE COMMERCIAL DR
City: College Place
State: Washington
ZIP Code: 99324-9721
Phone: (509) 575-4084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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