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Individual

STEPHANIE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8333 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(816) 474-7677
Mailing address
11116 W 76TH TER APT 1615, SHAWNEE, KS 66214-1292
(314) 691-8119

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary
2021046503
MO
106H00000X
Marriage & Family Therapist
3112
KS

Other

Enumeration date
03/08/2020
Last updated
02/23/2024
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