Individual
JENNA DAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6007 PENNSYLVANIA AVE, NASHVILLE, TN 37209-1337
(815) 520-8526
Mailing address
6835 CODY LN, ROCKFORD, IL 61107-2653
(815) 520-8526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149020377
IL
1041C0700X
Clinical Social Worker
Primary
7006
TN
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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