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Individual

LORA MCCLENDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3035 W BROAD ST STE 101, COLUMBUS, OH 43204-2653
(614) 272-7005
Mailing address
3035 W BROAD ST STE 101, COLUMBUS, OH 43204-2653
(614) 272-7005

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
140778
OH

Other

Enumeration date
09/28/2017
Last updated
07/21/2022
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