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NPI Profile for SHIRLEY K HENDERSON in KINGMAN, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1912386905 |
|
| Status | Active | |
| Credentials | LICENSED COUNSELOR | |
| Entity | Individual | |
| Enumeration date | 05/22/2015 | |
| Last updated | 05/28/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHIRLEY K HENDERSON
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SHIRLEY K HENDERSON, LICENSED COUNSELOR