Individual
MRS. DORETHA FRANCINE PENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13810 CHAMPION FOREST DR STE 150, HOUSTON, TX 77069-1883
(832) 639-8080
Mailing address
13810 CHAMPION FOREST DR STE 150, HOUSTON, TX 77069-1883
(832) 639-8080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
071865-1
NY
1041C0700X
Clinical Social Worker
088747
NY
1041C0700X
Clinical Social Worker
Primary
69298
TX
Other
Enumeration date
06/04/2010
Last updated
01/23/2021
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