Individual
JENNA WILLIS
Active
Individual
JENNA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
094728
NY
1041C0700X
Clinical Social Worker
125482
MA
1041C0700X
Clinical Social Worker
130625
IA
1041C0700X
Clinical Social Worker
Primary
CSW.00924630
CO
1041C0700X
Clinical Social Worker
TPSW1734
FL
Other
Enumeration date
12/18/2017
Last updated
09/22/2025
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