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Individual

MR. LAWRENCE EDWARD PENDLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3100 RIDGELAKE DR STE 309, METAIRIE, LA 70002-4938
(504) 309-0259
(504) 309-2702
Mailing address
3100 RIDGELAKE DR STE 309, METAIRIE, LA 70002-4938
(504) 309-0259
(504) 309-2702

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000
LA
101YM0800X
Mental Health Counselor
00000
LA

Other

Enumeration date
05/06/2022
Last updated
05/09/2022
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