Individual
KERI ANN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12302 S YUKON AVE APT 1038, GLENPOOL, OK 74033-6625
(918) 859-8068
Mailing address
12302 S YUKON AVE APT 1038, GLENPOOL, OK 74033-6625
(918) 859-8068
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/21/2019
Last updated
02/27/2025
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