Natoya Davis Henderson | |
609 Slim St Indianola MS 38751-3551 | |
(662) 207-5820 | |
Not Available |
Full Name | Natoya Davis Henderson |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 609 Slim St, Indianola, Mississippi |
Authorized Official Name and Position | Natoya Davis Henderson (OWNER) |
Authorized Official Contact | 6622075820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Natoya Davis Henderson 609 Slim St Indianola MS 38751-3551 Ph: (662) 207-5820 | Natoya Davis Henderson 609 Slim St Indianola MS 38751-3551 Ph: (662) 207-5820 |
NPI Number | 1518571298 |
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Provider Enumeration Date | 09/01/2020 |
Last Update Date | 04/20/2022 |
Certification Date | 04/20/2022 |
Identifier | Type | State | Issuer |
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1518571298 | NPI | - | NPPES |
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