Individual
AMONIE JEANINE HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 N BRIGHTLEAF BLVD STE F, SMITHFIELD, NC 27577-4876
(919) 934-1312
(919) 934-1080
Mailing address
1319 N BRIGHTLEAF BLVD STE F, SMITHFIELD, NC 27577-4876
(919) 934-1312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018162
NC
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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