Individual
MRS. REBECCA R HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 814-2699
(360) 814-5828
Mailing address
PO BOX 1376, 1415 E. KINCAID ST, MOUNT VERNON, WA 98273-1376
(360) 814-2699
(360) 814-5828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.00004138
WA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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