Individual
MR. ORLANDO JAMES JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3424 PENNSYLVANIA ST, GARY, IN 46409-1029
(678) 334-9067
Mailing address
PO BOX 641101, GARY, IN 46401-1101
(678) 334-9067
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
742126
GA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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