Ethan Hendricks
Ethan Hendricks is a Social Worker in Provo, Utah. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1902346653 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 28, 2017 |
| Last updated in NPPES | February 28, 2017 |
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