Individual
KATIE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
825 N 1420 E, OREM, UT 84097-5484
(435) 668-5773
Mailing address
PO BOX 971534, OREM, UT 84097-1534
(435) 668-5773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10376863-3501
UT
Other
Enumeration date
06/15/2011
Last updated
06/19/2020
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