Individual
LEZLIE MARY BURWELL-PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
804 FERRIS AVE, WAXAHACHIE, TX 75165-2554
(214) 336-9561
Mailing address
2551 N MOCKINGBIRD LN, MIDLOTHIAN, TX 76065-4725
(214) 336-9561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61900
TX
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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