Individual
JENNIFER R HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
608 RUBY DR, FORT COLLINS, CO 80525-4280
(970) 213-0199
Mailing address
608 RUBY DR, FORT COLLINS, CO 80525-4280
(970) 213-0199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16031768
—
CO
Enumeration date
12/13/2007
Last updated
11/09/2023
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