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Individual

RACHEL ALETHEA HENNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, ITDS

Contact information

Practice address
501 6TH AVE S DEPT 6005, ST PETERSBURG, FL 33701-4634
(727) 767-3781
Mailing address
1175 PINELLAS POINT DR S APT 198, ST PETERSBURG, FL 33705-6726
(773) 817-8044

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
05/23/2010
Last updated
05/09/2019
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