Henderson, Sandra Christine
Henderson, Sandra Christine is an individual health care provider with primary practice located at 1545 S Layton Blvd , Milwaukee WI 53215-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Henderson, Sandra Christine can be contacted via phone (414) 671-5920.Contact Information
Primary practice address
1545 S Layton Blvd
Milwaukee WI 53215-1924
Phone: (414) 671-5920
Fax: (414) 645-7850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3523123 | Wisconsin |
Profile Details
| NPI number | 1306976360 |
|---|---|
| LBN Legal business name | Henderson, Sandra Christine |
| Credentials | LCSW MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Feb 8th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306976360 | NPPES |
| Wisconsin | MEDICAID | 40963600 |
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