Mrs. Corretta N Henry-Russell

Individual provider Developmental Disabilities Clinic/Center · NPI 1063067098

Mrs. Corretta N Henry-Russell is a Developmental Disabilities Clinic/Center in Sanford, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since: 2019
Specialties on file: 2

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Practice location Address checks out

1672 Stargazer Ter
Sanford, FL 32771-9286
Phone: (407) 860-8048

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary)	Taxonomy 261Q00000X
Developmental Disabilities Clinic/Center	Taxonomy 261QD1600X

Record details

NPI number	1063067098
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	August 6, 2019
Last updated in NPPES	August 6, 2019