Individual
JENNIFER RENEE WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
115 FAIRBANKS RD, OAK RIDGE, TN 37830-7052
(865) 482-6098
Mailing address
147 MCGHEE LN, JACKSBORO, TN 37757-4508
(615) 636-3358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000014869
TN
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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