Organization
TISHA R. JENKINS, LCSW P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA R. JENKINS LCSW (OWNER)
(501) 786-9308
Entity
Organization
Contact information
Practice address
302 S MAIN ST, MALVERN, AR 72104-3737
(501) 786-9308
Mailing address
302 S MAIN ST, MALVERN, AR 72104-3737
(501) 786-9308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4482-C
AR
Other
Enumeration date
12/07/2015
Last updated
04/15/2024
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