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Individual

CARLOTTA R PENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
107 ARDMORE PL NW, #12, ATLANTA, GA 30309-1835
(404) 449-7584
Mailing address
107 ARDMORE PL NW, #12, ATLANTA, GA 30309-1835
(404) 749-7511

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004875
GA

Other

Enumeration date
03/27/2011
Last updated
03/27/2011
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