Individual
GRETCHEN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7022
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
02/02/2009
Last updated
06/02/2010
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