Individual
NICOLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2007 TIDEWATER COLONY DR STE 1A, ANNAPOLIS, MD 21401-2102
(410) 294-9300
Mailing address
2007 TIDEWATER COLONY DR STE 1A, ANNAPOLIS, MD 21401-2102
(410) 294-9300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30127
MD
Other
Enumeration date
07/28/2023
Last updated
06/26/2024
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