Provider Information for 1922377662
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Ms. LINDA FAYE PENDLETON LCSW
Sex: Female
NPI: 1922377662
Last Updated: 2013-12-11
Certification Date:
Certification Date:
Details
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NPI | 1922377662 | ||||||||
Enumeration Date | 2011-12-27 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 403 OLD TOWN CIR BRANDON, MS 39042-3628 United States Phone: 601-825-1793 | Fax: | ||||||||
Primary Practice Address | 403 OLD TOWN CIR BRANDON, MS 39042-3628 United States Phone: 601-825-1793 | Fax: | ||||||||
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