Whalio Doctors

NPI 1003091109

Lisa Dawn Hendrickson, SSW

Practitioner Social Worker Beaver, UT

Practice location

Address
75 W 1175 N, Beaver, UT 84713
Phone
(435) 438-5537
Fax
(435) 438-5170
Mailing address
474 W 200 N Suite 300, St George, UT 84770-4505

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 6827333-3503 (UT)

Registry record

NPI
1003091109
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jan 2008
Record last updated
8 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.