Individual
MS. ANDRIA JILL JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2262 W MAGEE RD, TUCSON, AZ 85742-4329
(520) 404-0296
(520) 744-6212
Mailing address
2437 W DANTE WAY, TUCSON, AZ 85741-2606
(520) 404-0296
(520) 744-6212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-3617
LICENSED CLINICAL SW
AZ
Enumeration date
12/28/2006
Last updated
07/08/2007
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