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Organization

CHAPEL HILL TRAINING OUTREACH PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER ROTELLA MSW, LCSW (CLINICAL SOCIAL WORKER)
(919) 542-9891
Entity
Organization

Contact information

Practice address
35 THOMPSON ST, SUITE 204, PITTSBORO, NC 27312-5653
(919) 542-9891
Mailing address
35 THOMPSON ST, SUITE 204, PITTSBORO, NC 27312-5653
(919) 542-9891

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
COO3955
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6106051
NC
Enumeration date
06/09/2006
Last updated
08/22/2020
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