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Individual

ANISHA O JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
33 ALLEN STREET, LYNBROOK, NY 11563
(917) 652-1618
Mailing address
33 ALLEN STREET, LYNBROOK, NY 11563-1901
(917) 652-1618

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083718
NY

Other

Enumeration date
08/19/2019
Last updated
08/19/2019
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