Individual
MR. CHARLES LEONARD JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW CASAC
Contact information
Practice address
1603 CHESTER ST, BRONX, NY 10469-2679
(917) 574-8796
Mailing address
1603 CHESTER ST, BRONX, NY 10469-2679
(917) 574-8796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081324
NY
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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