Individual
MISS CHANELL LANETTE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N HOWARD ST # 4719, SPOKANE, WA 99201-0508
(509) 210-2228
Mailing address
7413 SIX FORKS RD, RALEIGH, NC 27615-6164
(919) 914-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110040
TX
1041C0700X
Clinical Social Worker
Primary
P018837
NC
1041C0700X
Clinical Social Worker
SC61675386
WA
Other
Enumeration date
04/04/2023
Last updated
04/15/2025
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