Individual
CHRISTINE DEANNE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7035 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1753
(612) 413-8780
Mailing address
10520 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(612) 413-8780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
01/30/2024
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