NPI 1013731389

Amber Rebecca Henderson, LMSWCPSAD

Practitioner Social Worker Lawrenceville, GA

Practice location

Address: 175 Gwinnett Dr, Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Mailing address: 2290 Crystal CT, Loganville, GA 30052-4481

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence MSW012171 (GA)

Other Social Worker providers in Georgia →

Registry record

NPI: 1013731389
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2024
Record last updated: 13 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.