Individual
ANNE MARIE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 W 18TH ST, AUSTIN, TX 78701-1111
(512) 585-4206
Mailing address
601 W 18TH ST, AUSTIN, TX 78701-1111
(512) 585-4206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
52985
TX
Other
Enumeration date
07/25/2011
Last updated
07/27/2012
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