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1285950014
LISA R HENDRICKSON
CHEYENNE, WY
NPI
1285950014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 157)
Enumeration Date
2010-04-19
Last Update Date
2011-03-16
Business Address
-- LISA R HENDRICKSON BSW, MA CSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
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Mailing Address
-- LISA R HENDRICKSON BSW, MA CSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
Copy
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