Marissa Henderson
Social Worker, Clinical in Knoxville, TN. Individual provider (NPI-1).
NPI number1558099739
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1558099739
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marissa Henderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
118 Mabry Hood RdKnoxville, TN 37922-2219
Phone 865-982-5225
Mailing address
13066 Sandbourne NOlive Branch, MS 38654-7508
Phone 413-896-7612
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