| Laura S Henderson Lmsw Pllc | |
|
43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 | |
| (586) 799-4350 | |
| (586) 799-4279 |
| Full Name | Laura S Henderson Lmsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 43200 Dequindre Rd, Sterling Hts, Michigan |
| Authorized Official Name and Position | Laura S Henderson (OWNER) |
| Authorized Official Contact | 5867994350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura S Henderson Lmsw Pllc 147 S Highland St Mount Clemens MI 48043-2141 Ph: (586) 219-0504 | Laura S Henderson Lmsw Pllc 43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 Ph: (586) 799-4350 |
| NPI Number | 1841624327 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/03/2013 |
| Medicare PECOS PAC ID | 3779710249 |
|---|---|
| Medicare Enrollment ID | O20131209001674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841624327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801068425 (Michigan) | Primary |
| Provider Name | Laura Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235289810 PECOS PAC ID: 4789859562 Enrollment ID: I20111206000292 |
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