Individual
MR. MARY ALICE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW, CAC1
Contact information
Practice address
13336 E. WARREN AVE, DETROIT, MI 48236-1128
(313) 822-6940
(313) 822-6946
Mailing address
775 MOORLAND DR, GROSSE POINTE WOODS, MI 48236-1128
(313) 886-2724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-00266
MI
104100000X
Social Worker
6802057046
MI
Other
Enumeration date
03/29/2007
Last updated
04/05/2026
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