Individual
MRS. SUZANNE MARIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
Mailing address
465 PEBBLE CREEK DR, FRAZIERS BOTTOM, WV 25082-9781
(703) 303-8784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00942779
WV
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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