Individual
MISS CHANELL LANETTE UNDERWOOD
Active
Individual
MISS CHANELL LANETTE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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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