Provider Demographics
NPI:1457535601
Name:HARRY, SONJA VALECHIA (MSW)
Entity type:Individual
Prefix:DR
First Name:SONJA
Middle Name:VALECHIA
Last Name:HARRY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 SILVER RUN CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-5767
Mailing Address - Country:US
Mailing Address - Phone:336-414-8193
Mailing Address - Fax:
Practice Address - Street 1:100 BEATTIES FORD ROAD
Practice Address - Street 2:JOHNSON C SMITH UNIVERSITY, DEPT OF SOCIAL WORK
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-5398
Practice Address - Country:US
Practice Address - Phone:704-378-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker