MS. Jackie D Henderson

NPI #1376192823 in Dallas, Texas

Provider Information

NPI Number
1376192823
Entity Type
Individual
Name
MS. Jackie D Henderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Sep 7, 2019
Last Updated
Sep 7, 2019

Practice Location

Address
7041 HEDGEBROOK DR
City
Dallas
State
Texas
ZIP Code
75249
Phone
(972) 822-8115

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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