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Individual

MICHAEL JOE JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
56 GLENN DR, WHITE HEATH, IL 61884-9740
(573) 201-7295
Mailing address
56 GLENN DR, WHITE HEATH, IL 61884-9740
(573) 201-7295

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/31/2018
Last updated
03/16/2023
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