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Destiny Henderson

NPI 1952158602 · on the registry since 2024 · sole proprietor

Practice

Address
59 Grant St
Newark, OH 43055
Phone
(740) 349-7511
Clinicians at this address
84

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio