Individual
SONYA R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-0070
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10481
SC
1041C0700X
Clinical Social Worker
10481
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
11/28/2006
Last updated
05/30/2024
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