Individual
JULENE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 N BROADWAY STE 1, IRVINGTON, NY 10533-1246
(914) 591-7300
Mailing address
PO BOX 2161, DANBURY, CT 06813-2161
(203) 731-7671
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
115335-01
NY
Other
Enumeration date
06/13/2022
Last updated
03/04/2025
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