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Individual

MRS. AUGUSTINA LANA POMPEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-0001
(910) 907-9645
(910) 907-6069
Mailing address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-0001
(910) 907-9645
(910) 907-6069

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007415
NC
164W00000X
Licensed Practical Nurse
056306
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056306
NORTH CAROLINA BOARD OF NURSING
NC
01
C007415
NORTH CAROLINA SOCIAL WORK BOARD
NC
01
Q1-0001030
STATE OF DELAWARE BOARD OF CLINICAL SOCIAL WORK EXAMINERS
DE
Enumeration date
07/13/2009
Last updated
10/22/2011
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