Most Relevant Information
Provider Data
| NPI Number: | 1003409640 |
| Provider Name: | QUA'SHAWN PERNELL BSW, MSW, LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P014925 |
Most Important Dates
| Enumeration Date: | 02/15/2021 |
| Last Updated: | 02/15/2021 |
Provider Practice Location
229 TURNER DR
REIDSVILLE
NC
273205736
Practice Location Phone/Fax
| Phone: | 3363492233 |
| Fax: |
Provider Mailing Location
1002 S LINDELL RD APT J
GREENSBORO
NC
274032096
Provider Mailing Phone/Fax
| Phone: | 3364572989 |
| Fax: |