Individual
JENNI ANN DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
14802 NEWPORT AVE, 21D, TUSTIN, CA 92780-6184
(714) 470-1964
Mailing address
14802 NEWPORT AVE, 21D, TUSTIN, CA 92780-6184
(714) 470-1964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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