| NPI | 1720348188 |
|---|---|
| Other Name | MARCIA C HENNESSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004615) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0148) |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2014-12-09 |