Organization
TIANE JENNINGS, LICSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIANE HEATHER JENNINGS LICSW (SOCIAL WORKER)
(602) 402-9596
Entity
Organization
Contact information
Practice address
3 LEDGETREE RD, MEDFIELD, MA 02052-2109
(602) 402-9596
Mailing address
3 LEDGETREE RD, MEDFIELD, MA 02052-2109
(602) 402-9596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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