Individual
MRS. CHANYEL LATISHA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
7701 SIX FORKS RD, RALEIGH, NC 27615-5050
(919) 676-4784
Mailing address
151 TORREY HEIGHTS LN, DURHAM, NC 27703-8956
(803) 381-2333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017674
NC
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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