KELLY HENDRICKSON

MERRILLVILLE, IN
NPI1649836685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-15
Last Update Date2019-05-22
Business Address
KELLY HENDRICKSON
521 E 86TH AVE STE H
MERRILLVILLE, IN 46410-6236
Phone number: 219-323-3311
Mailing Address
KELLY HENDRICKSON
924 N FAIRFIELD AVE # G
CHICAGO, IL 60622-4453
Phone number: 219-512-3979
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