Individual
MARLENE V PENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 E 1ST ST, APT 4D, NEW YORK, NY 10003-9309
(305) 321-0616
Mailing address
46 E 1ST ST, APT 4D, NEW YORK, NY 10003-9309
(305) 321-0616
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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