Individual
DONALD REED HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
232 EAST 5TH SOUTH, REXBURG, ID 83440
(208) 206-2332
Mailing address
232 EAST 5TH SOUTH, REXBURG, ID 83440
(208) 206-2332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-632
ID
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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