Individual
MADELINE MAE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1756 HERITAGE CENTER DR STE 102, WAKE FOREST, NC 27587-8796
(919) 438-2167
Mailing address
1756 HERITAGE CENTER DR STE 102, WAKE FOREST, NC 27587-8796
(919) 438-2167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P021138
NC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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