Individual
SARAH LARRAINE PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
150 W PARK LOOP NW STE 101, HUNTSVILLE, AL 35806-1759
(256) 239-5662
(256) 217-4162
Mailing address
150 W PARK LOOP NW STE 101, HUNTSVILLE, AL 35806-1759
(256) 239-5662
(256) 217-4162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6502G
AL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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