Individual
MATTHEW JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
702 N MAIN ST, ROXBORO, NC 27573-4755
(336) 599-9271
(336) 599-2910
Mailing address
702 N MAIN ST, ROXBORO, NC 27573-4755
(336) 599-9271
(336) 599-2910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15889700400
—
NC
Enumeration date
08/23/2010
Last updated
06/30/2015
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