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Individual
MRS. JESSICA JENKINS JENKINS WILSON
Active
Individual
MRS. JESSICA JENKINS JENKINS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC INTERN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
10/13/2010
Last updated
10/07/2020
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