Individual
DR. ANTHONY B PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D., LPC
Contact information
Practice address
306 N 2ND ST, PIEDMONT, MO 63957-1301
(573) 223-7649
(573) 223-7691
Mailing address
RR 1 BOX 1309, PIEDMONT, MO 63957-9715
(573) 223-3685
(573) 223-7691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2006038843
MO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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