Lave Wilson Pennywell

NPI #1013760701 in Clayton, North Carolina

Provider Information

NPI Number: 1013760701
Entity Type: Individual
Name: Lave Wilson Pennywell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: 45 SANIBEL ST
City: Clayton
State: North Carolina
ZIP Code: 27520-6944
Phone: (919) 410-5287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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