Individual
SHATRECE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 WINBROOK DR, MCDONOUGH, GA 30253-8038
(678) 671-9594
Mailing address
737 WINBROOK DR, MCDONOUGH, GA 30253-8038
(678) 671-9594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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