LISA R HENDRICKSON

CHEYENNE, WY
NPI1285950014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  157)
Enumeration Date2010-04-19
Last Update Date2011-03-16
Business Address
-- LISA R HENDRICKSON BSW, MA CSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
Mailing Address
-- LISA R HENDRICKSON BSW, MA CSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953