Individual
ANTIONETTE B JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
3331 EASY ST, DUNN, NC 28334-7988
(910) 567-7158
Mailing address
182 FAISON W MCGOWAN RD, KENANSVILLE, NC 28349-8930
(910) 275-0369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P008318
NC
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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