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Individual
MR. MARK E JENKINS JR.
Active
Individual
MR. MARK E JENKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
1041C0700X
Clinical Social Worker
Primary
LICSW1130671
MA
Other
Enumeration date
08/11/2019
Last updated
01/22/2025
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