Madeline Mae Pennington, LCSWA

NPI #1477383388 in Wake Forest, North Carolina

Provider Information

NPI Number: 1477383388
Entity Type: Individual
Name: Madeline Mae Pennington, LCSWA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSWA
Enumeration Date: Aug 5, 2024
Last Updated: Aug 5, 2024

Practice Location

Address: 1756 HERITAGE CENTER DR STE 102
City: Wake Forest
State: North Carolina
ZIP Code: 27587-8796
Phone: (919) 438-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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