Individual
MS. KRISTINA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4222 BOLIVAR RD, WELLSVILLE, NY 14895-9332
(716) 593-1655
Mailing address
4222 BOLIVAR RD, WELLSVILLE, NY 14895-9332
(716) 593-1655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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