Individual
MRS. JOYCE DAVIS HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
6809 FAIRVIEW ROAD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Mailing address
6809 FAIRVIEW ROAD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C000606
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41649
BCBS
NC
Enumeration date
12/15/2005
Last updated
10/26/2011
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