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Individual
LISA L LADENDORFF
Active
Individual
LISA L LADENDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041S0200X
School Social Worker
L2326
OR
Other
Enumeration date
07/19/2006
Last updated
04/14/2008
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