Individual
LISA DAWN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
75 W 1175 N, BEAVER, UT 84713
(435) 438-5537
(435) 438-5170
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6827333-3503
UT
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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