Individual
COURTNEY KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1942 E 7TH ST STE 220, CHARLOTTE, NC 28204-2418
(704) 360-3637
Mailing address
810 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3536
(315) 657-6738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016663
NC
Other
Enumeration date
07/05/2024
Last updated
11/04/2024
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