Most Relevant Information
Provider Data
| NPI Number: | 1003545013 |
| Provider Name: | DENARD FENAUD LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MSW011595 |
Most Important Dates
| Enumeration Date: | 06/06/2022 |
| Last Updated: | 05/30/2024 |
Provider Practice Location
101 GREATWOOD LN
VILLA RICA
GA
301805565
Practice Location Phone/Fax
| Phone: | 7724083907 |
| Fax: | 6788556715 |
Provider Mailing Location
101 GREATWOOD LN
VILLA RICA
GA
301805565
Provider Mailing Phone/Fax
| Phone: | 7724083907 |
| Fax: | 6788556715 |