SearchNorth Carolina1041C0700X

Demelza Pengelly, MSW, LCSW, LCAS-A

NPI 1245774819 · on the registry since 2016 · sole proprietor

Practice

Address
300 Veazey Rd
Butner, NC 27509
Phone
(199) 764-7200
Clinicians at this address
37

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
104100000X
Licence states on file
MA, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina