Individual
MICHELLE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD, LD, IBCLC
Contact information
Practice address
2619 STAVORDALE CT, GREER, SC 29651-9029
(203) 837-6922
Mailing address
2619 STAVORDALE CT, GREER, SC 29651-9029
(203) 837-6922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1259
SC
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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