Individual
GARY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 318-3078
Mailing address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 318-3078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1101200-SUPV
OH
Other
Enumeration date
10/03/2013
Last updated
10/10/2013
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