Individual
STEPHANIE JENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
423 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 315-8648
Mailing address
18412 FISH LOOP, LAND O LAKES, FL 34638-6119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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