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Individual

MR. LAWRENCE THOMAS VENDITTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
2811 E. MADISON, 205, SEATTLE, WA 98112
(206) 568-2674
(206) 324-5565
Mailing address
2811 E. MADISON, 205, SEATTLE, WA 98112
(206) 568-2674
(206) 324-5565

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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