Individual
ALEXCIA M JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 KENDAL ST STE B, VACAVILLE, CA 95688-3960
(707) 330-7904
Mailing address
591 PEABODY RD APT 110, VACAVILLE, CA 95687-5860
(707) 718-3682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW93281
CA
Other
Enumeration date
10/26/2020
Last updated
11/10/2020
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