Individual
PATRICIA NICHOLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 FORT FREDERICK CIR, PORT ROYAL, SC 29935-1701
(843) 476-8356
Mailing address
601 FORT FREDERICK CIR, PORT ROYAL, SC 29935-1701
(843) 476-8356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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