Individual
MR. BARRY ADOLPH JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
(419) 228-3779
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-4334
(937) 734-8269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I 7380
OH
1041C0700X
Clinical Social Worker
Primary
I.7380-S
OH
Other
Enumeration date
04/03/2007
Last updated
10/08/2020
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