Individual
AMY ELIZABETH JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9606 TIERRA GRANDE ST STE 201, SAN DIEGO, CA 92126-6501
(619) 369-5050
(619) 485-5961
Mailing address
4547 UTAH ST APT 3, SAN DIEGO, CA 92116-3140
(662) 822-4937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100075
CA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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