Individual
MELISSA A HENDRICKSON X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 444-3620
Mailing address
1205 WILFORD ST, MAYFIELD, KY 42066-3415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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