Individual
MS. LAURAN ANNE CHENOWETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, HSP LPA
Contact information
Practice address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 369-2500
Mailing address
4091 N COURSE DR, CHARLOTTE, NC 28277-7630
(313) 354-4286
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3668
NC
Other
Enumeration date
04/11/2007
Last updated
01/24/2012
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