Individual
JENNIFER C CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
725 N. HIGHLAND AVE, 2ND FLOOR, WINSTON-SALEM, NC 27101-4206
(336) 607-8501
(336) 725-4030
Mailing address
3210 FAIRHILL DRIVE, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P006709
NC
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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