Individual
MS. LINDA FAYE PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 OLD TOWN CIR, BRANDON, MS 39042-3628
(601) 825-1793
Mailing address
403 OLD TOWN CIR, BRANDON, MS 39042-3628
(601) 825-1793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2085
MS
Other
Enumeration date
12/27/2011
Last updated
12/11/2013
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