Individual
KELLY ANN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
126 N EUCLID AVE, INDIANAPOLIS, IN 46201-3632
(317) 372-3989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009759A
IN
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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