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Contact Information

LISA D HENDRICKSON, SSW
75 W 1175 N
BEAVER, UT84713
 Phone: 435-438-5537
 Fax: 435-438-5170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LISA D HENDRICKSON · (Female)

NPI # 1003091109
Status Active
Credentials SSW
Entity Individual
Enumeration date 01/08/2008
Last updated 01/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 6827333-3503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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