Individual
MS. GENA S JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
882 OAKMAN BLVD STE C, DETROIT, MI 48238-4019
(313) 961-4890
Mailing address
2415 FERRY PARK ST, DETROIT, MI 48208-1101
(313) 256-1086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099288
MI
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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