ALEXIS PENDERGRASS

BOGALUSA, LA
NPI1720565096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-07-19
Last Update Date2019-03-22
Business Address
ALEXIS PENDERGRASS CSW
542 COLUMBIA ST
BOGALUSA, LA 70427-4720
Phone number: 985-735-9448
Mailing Address
ALEXIS PENDERGRASS CSW
542 COLUMBIA ST
BOGALUSA, LA 70427-4720
Phone number: 985-735-9448