Individual
SANDRA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
1102 S PARK ST, SUITE 400, MADISON, WI 53715-1708
(608) 282-8270
(608) 287-5992
Mailing address
2802 SOMMERS AVE, MADISON, WI 53704-5719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1111
WI
1041C0700X
Clinical Social Worker
Primary
3456
WI
Other
Enumeration date
01/07/2016
Last updated
05/06/2016
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