KYLE D JENNINGS

BLOOMINGTON, IL
NPI1336481514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-26
Last Update Date2013-11-01
Business Address
-- KYLE D JENNINGS B.S.
702 W CHESTNUT ST
BLOOMINGTON, IL 61701-2814
Phone number: 309-557-1472
Mailing Address
-- KYLE D JENNINGS B.S.
702 W CHESTNUT ST
BLOOMINGTON, IL 61701-2814
Phone number: 309-557-1472
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