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1770878019
KATIE HENDRICKSON
OREM, UT
NPI
1770878019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10376863-3501)
Enumeration Date
2011-06-15
Last Update Date
2020-06-19
Business Address
KATIE HENDRICKSON LCSW
825 N 1420 E
OREM, UT 84097-5484
Phone number: 435-668-5773
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Mailing Address
KATIE HENDRICKSON LCSW
PO BOX 971534
OREM, UT 84097-1534
Phone number: 435-668-5773
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