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Individual

LAYLA IRENE HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1331 12TH AVE STE 300, ALTOONA, PA 16601-3340
(814) 934-4638
(814) 201-2758
Mailing address
1331 12TH AVE STE 300, ALTOONA, PA 16601-3340
(814) 934-4638
(814) 201-2758

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135420
PA

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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