| Doctor Name: | RENEE J JENNINGS |
| NPI Number: | 1114014008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I0009703 |
| Business Practice Address: | 680 E Dayton Yellow Springs Rd Fairborn, OH - 453243911 |
| Business Phone Number: | 8883903800 |
| Business Fax Number: | 9373903804 |
| Mailing Address: | 1130 Vester Ave, Suite C SPRINGFIELD |
| State: | OH |
| Postal Code: | 455037302 |
| Phone Number: | 9373903800 |
| Fax Number: | 9373903804 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0009703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |