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Individual

CARDARRINE ILENE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 833-0291
(313) 833-2841
Mailing address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 833-0291
(313) 833-2841

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801033127
MI
171M00000X
Case Manager/Care Coordinator
6801033127
MI

Other

Enumeration date
03/04/2014
Last updated
08/28/2020
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