Individual
MRS. KEONTE JENKINS-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1807A E MAIN ST, EASLEY, SC 29640-3841
(864) 442-7482
(864) 307-7977
Mailing address
1807A E MAIN ST, EASLEY, SC 29640-3841
(864) 442-7482
(864) 307-7977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6077
SC
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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