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Organization
MENDED COUNSELING & CONSULTATION
Active
Organization
MENDED COUNSELING & CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVONNE JENKINS LCSW (OWNER)
(313) 212-4194
Entity
Organization
Contact information
Practice address
615 E 6TH ST STE 114, CHARLOTTE, NC 28202-2918
(704) 352-9391
(704) 270-5173
Mailing address
5009 BEATTIES FORD RD STE 107-251, CHARLOTTE, NC 28216-2859
(704) 352-9391
(704) 210-5173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
02/06/2020
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