Individual
AMY KATHLEEN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2663 FARRAGUT DR, STE B, SPRINGFIELD, IL 62704-1462
(217) 744-3525
(217) 744-3535
Mailing address
1124 S 5TH ST, SPRINGFIELD, IL 62703-2314
(217) 744-3525
(217) 744-3535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-006758
IL
Other
Enumeration date
01/28/2007
Last updated
07/08/2016
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