Lisa Dawn Hendrickson, SSW

NPI #1003091109 in Beaver, Utah

Provider Information

NPI Number: 1003091109
Entity Type: Individual
Name: Lisa Dawn Hendrickson, SSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: SSW
Enumeration Date: Jan 8, 2008
Last Updated: Jan 8, 2008

Practice Location

Address: 75 W 1175 N
City: Beaver
State: Utah
ZIP Code: 84713
Phone: (435) 438-5537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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