Most Relevant Information
Provider Data
| NPI Number: | 1003635913 |
| Provider Name: | JOAN JENNINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SL06985300 |
Most Important Dates
| Enumeration Date: | 10/08/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
655 BROADWAY
PATERSON
NJ
075141923
Practice Location Phone/Fax
| Phone: | 9735230089 |
| Fax: |
Provider Mailing Location
655 BROADWAY
PATERSON
NJ
075141923
Provider Mailing Phone/Fax
| Phone: | 9735230089 |
| Fax: |