Vivian Henderson

NPI 1083033815 - Social Worker - 104100000X

NPI Details
NPI 1083033815
Gender Female
Enumeration Date 04/09/2014
Last Updated 04/09/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
16220 FREDERICK RD
SUITE 310
GAITHERSBURG MD, 20877-4039, US
Phone (301) 345-1022
Fax (301) 296-6100
Business Location
16220 FREDERICK RD
SUITE 310
GAITHERSBURG MD, 20877-4039, US
Phone (301) 345-1022
Fax (301) 296-6100
Toxanomy
Taxonomy Code 104100000X
License State Maryland
License Number 19463
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According to our database, Vivian Henderson NPI is 1083033815, taxonomy code is 104100000X and license number is 19463, license state is located at Maryland. Vivian Henderson physically located at 16220 Frederick Rd, Gaithersburg MD, 20877-4039. NPI Number Vivian Henderson has the Individual type.

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1083033815 NPI number is provided on an as is basis without warranty of any kind. 1083033815 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Henderson are for informational purposes only.