Individual
MRS. THERESA E JENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
593 EDDY ST, RHODE ISLAND HOSPITAL, PROVIDENCE, RI 02903
(401) 444-4044
Mailing address
10 STEBER WAY, REHOBOTH, MA 02769-1046
(508) 254-9406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114933
MA
1041C0700X
Clinical Social Worker
Primary
ISW02252
RI
Other
Enumeration date
01/09/2007
Last updated
10/04/2023
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