| Tiane Jennings, Licsw, Pllc | |
|
3 Ledgetree Rd Medfield MA 02052-2109 | |
| (602) 402-9596 | |
| Not Available |
| Full Name | Tiane Jennings, Licsw, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3 Ledgetree Rd, Medfield, Massachusetts |
| Authorized Official Name and Position | Tiane Heather Jennings (SOCIAL WORKER) |
| Authorized Official Contact | 6024029596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiane Jennings, Licsw, Pllc 3 Ledgetree Rd Medfield MA 02052-2109 Ph: (602) 402-9596 | Tiane Jennings, Licsw, Pllc 3 Ledgetree Rd Medfield MA 02052-2109 Ph: (602) 402-9596 |
| NPI Number | 1467036418 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467036418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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