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SANDRA K PATRICK HENDRICKS
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1205364023
Individual Registrant: SANDRA K PATRICK HENDRICKS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
111 6TH ST HUGO, CO 80821-2002 US
Tel: 719-775-8662 Fax: --
Tel: 719-775-8662 Fax: --
Contact information for business:
PO BOX 248 HUGO, CO 80821-0248 US
Tel: 719-743-2155 Fax: --
Tel: 719-743-2155 Fax: --
Registration Information:
NPI: 1205364023
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CO | CSW00992784 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
