Individual
CHENELLE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MBA, LCSW-A
Contact information
Practice address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
(919) 251-9001
(919) 251-9008
Mailing address
PO BOX 12573, DURHAM, NC 27709-2573
(919) 889-0933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017653
NC
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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