Individual
MRS. ALICE BLAKE FENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2608 ERWIN RD STE 300, DURHAM, NC 27705-4597
(919) 681-1100
Mailing address
2608 ERWIN RD STE 300, DURHAM, NC 27705-4597
(919) 681-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013360
NC
1041C0700X
Clinical Social Worker
P012490
NC
Other
Enumeration date
06/13/2018
Last updated
10/16/2025
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