Individual
MRS. BRIDGET CARRAWAY PENASKOVIC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
2703 BRICK HEARTH DR, HILLSBOROUGH, NC 27278-9320
(919) 732-3344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1928C
AL
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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