Individual
MARGIE L LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2601 N 3RD ST STE 301, PHOENIX, AZ 85004-1101
(602) 696-2801
Mailing address
2601 N 3RD ST STE 301, PHOENIX, AZ 85004-1101
(602) 696-2801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1930
TN
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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