Individual
LAURA ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7194 IRISH ROSE LN, PICKERINGTON, OH 43147-7779
(614) 649-5661
Mailing address
7194 IRISH ROSE LN, PICKERINGTON, OH 43147-7779
(614) 649-5661
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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