Individual
DR. JACQUELYN IMAN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 LATHAM PARK, ELKINS PARK, PA 19027-3149
(267) 372-4212
Mailing address
21 LATHAM PARK, ELKINS PARK, PA 19027-3149
(267) 372-4212
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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