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Individual

JODY HENDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
(701) 328-8890
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
(701) 328-8890

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/19/2013
Last updated
04/19/2013
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