Individual
JAMI HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LCDCIII, QMHS
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1586
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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