Individual
MRS. COLLEEN CLENDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
372 SANDALWOOD DR, MANDEVILLE, LA 70448-6357
(703) 615-0418
Mailing address
372 SANDALWOOD DR, MANDEVILLE, LA 70448-6357
(703) 615-0418
(703) 615-0418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112477
CA
1041C0700X
Clinical Social Worker
SW138188
PA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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