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Individual

MISS ALEXANDRIA DANIELLE JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1203 HILTON AVE, UTICA, NY 13501-4193
(315) 368-6417
Mailing address
1203 HILTON AVE, UTICA, NY 13501-4193
(315) 368-6417

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109321
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109321
NY
Enumeration date
05/12/2020
Last updated
05/12/2020
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