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Individual
ZENOBIA BERNADETTE FENNELL
Active
Individual
ZENOBIA BERNADETTE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.MIN. LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2825-A
NC
1041C0700X
Clinical Social Worker
Primary
C008370
NC
Other
Enumeration date
07/13/2011
Last updated
03/14/2016
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