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Individual

MR. LAWRENCE THOMAS VENDITTO

Active
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Individual

MR. LAWRENCE THOMAS VENDITTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20706-CP2414
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2070CP2414
WA
1041C0700X
Clinical Social Worker
20704-LW4309
WA
1041C0700X
Clinical Social Worker
20704LW4309
WA
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
20705-LF930
WA
106H00000X
Marriage & Family Therapist
20705LF930
WA

Other

Enumeration date
02/02/2007
Last updated
10/07/2015
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