Individual
MR. A. DOUGLAS JENNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
4816 SIX FORKS RD STE 104, RALEIGH, NC 27609-5250
(919) 781-6393
(919) 781-1589
Mailing address
4816 SIX FORKS RD STE 104, RALEIGH, NC 27609-5250
(919) 781-6393
(919) 781-1589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-000051
NC
Other
Enumeration date
01/01/2007
Last updated
07/09/2007
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