Constance M. Henderson, L.C.S.W.
NPI #1629166475 in Mammoth Lakes, California
Provider Information
- NPI Number
- 1629166475
- Entity Type
- Individual
- Name
- Constance M. Henderson, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Feb 1, 2008
Practice Location
- Address
- 549 OLD MAMMOTH ROAD, SUITE 10
- City
- Mammoth Lakes
- State
- California
- ZIP Code
- 93546-0000
- Phone
- (760) 934-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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