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Individual

MS. JANICE BEATRICE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3543 FAIRMOUNT AVE, PHILADELPHIA, PA 19104-1906
(215) 400-7750
Mailing address
3543 FAIRMOUNT AVE, PHILADELPHIA, PA 19104-1906
(267) 354-0624

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020420
PA

Other

Enumeration date
08/21/2020
Last updated
03/03/2021
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