Individual
JESSICA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1772 STIEGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
Mailing address
1772 STIEGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10561
MN
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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