Wilbert Shaun Henderson
Case Manager/Care Coordinator in Toledo, OH. Individual provider (NPI-1).
NPI number1336717529
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1336717529
- Entity type
- Individual (NPI-1)
- Name
- Wilbert Shaun Henderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
Practice location
424 W Woodruff AveToledo, OH 43604-5027
Phone 419-841-7701
Mailing address
2005 Ashland AveToledo, OH 43620-1703
Phone 419-841-7701
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