Individual
MS. LAILEY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
555 PACIFIC AVE, SUITE 202, BREMERTON, WA 98337-1903
(360) 782-1700
Mailing address
555 PACIFIC AVE, SUITE 202, BREMERTON, WA 98337-1903
(360) 782-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00008654
WA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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