Individual
ELIZABETH RANGANAI MAVINDIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
WAKEMED HEALTH AND HOSPITALS, 3000 NEW BERN AVENUE, RALEIGH, NC 27610
(919) 350-7722
Mailing address
3444 BARN RD, APEX, NC 27502-7403
(610) 772-3734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C010695
NC
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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