Individual
JENNIFER JEANNE DAILEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LCSW ACSW
Contact information
Practice address
4214 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-5251
(260) 486-5058
Mailing address
4214 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-5251
(260) 486-5058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34001306A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000293410
ANTHEM
—
01
—
0007724640
AETNA US HEALTHCARE
—
01
—
337089
VALUEOPTIONS
—
01
—
36770
CIGNA
—
Enumeration date
09/13/2005
Last updated
07/08/2007
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