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Individual
RACHAEL VAUGHN PENNELL
Active
Individual
RACHAEL VAUGHN PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011762
NC
1041C0700X
Clinical Social Worker
P010710
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00550523
—
NC
Enumeration date
07/18/2016
Last updated
10/04/2021
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