Organization
JANICE L. HENDRYX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE L HENDRYX MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(405) 517-7612
Entity
Organization
Contact information
Practice address
3908 N PENIEL AVE, SUITE 420, BETHANY, OK 73008-3458
(405) 603-3265
(405) 603-6624
Mailing address
7244 NW 129TH ST, OKLAHOMA CITY, OK 73142-2544
(405) 517-7612
(405) 603-6624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4205
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200362380B
—
OK
Enumeration date
05/02/2012
Last updated
06/13/2012
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