Individual
ELIZA JEEYAE RENNER
Active
Individual
ELIZA JEEYAE RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
125330
CA
1041C0700X
Clinical Social Worker
L15200
OR
1041C0700X
Clinical Social Worker
Primary
LW61480245
WA
Other
Enumeration date
02/27/2024
Last updated
06/17/2025
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