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1013760701
LAVE WILSON PENNYWELL
CLAYTON, NC
NPI
1013760701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC P018487)
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
LAVE WILSON PENNYWELL
45 SANIBEL ST
CLAYTON, NC 27520-6944
Phone number: 919-410-5287
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Mailing Address
LAVE WILSON PENNYWELL
45 SANIBEL ST
CLAYTON, NC 27520-6944
Phone number: 919-410-5287
Copy
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