Individual
SUSAN JENNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
102 N 1ST ST, OWENSVILLE, MO 65066-1302
(573) 437-2959
(573) 437-2974
Mailing address
2042 KRAUSETOWN RD, OWENSVILLE, MO 65066-2803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2003020995
MO
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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