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1356905301
JESTINE DEVARGE JENNINGS
BRONX, NY
NPI
1356905301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 086992)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
JESTINE DEVARGE JENNINGS LCSW
384 E 149TH ST
BRONX, NY 10455-3908
Phone number: 631-983-7298
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Mailing Address
JESTINE DEVARGE JENNINGS LCSW
29 YATES ST
WEST BABYLON, NY 11704-1922
Phone number: 631-983-7298
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