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JENNIFER JEAN HENDERSON L.M.T.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1104079219

Individual Registrant:
 JENNIFER JEAN HENDERSON L.M.T.
Gender: F
Sole Proprietor

Location and contact information for practice:
341 WINSLOW BLVD  WINSLOW, AR 72959 US
Tel: 479-841-2081  Fax: 479-634-5109

Contact information for business:
341 WINSLOW BLVD  WINSLOW, AR 72959 US
Tel: 479-841-2081  Fax: 479-634-5109

Registration Information:
NPI: 1104079219
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
AR2176

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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