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Individual
KIM DENISE WILLIAMS-JENKINS
Active
Individual
KIM DENISE WILLIAMS-JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR,CASAC,CRC,MSED
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12039
NY
1041C0700X
Clinical Social Worker
Primary
077058-R
NY
Other
Enumeration date
05/12/2008
Last updated
01/05/2016
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