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Individual

DR. WILLIE PATRICE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
108 PARKS RD, JACKSON, MS 39212-9626
(601) 260-0525
Mailing address
PO BOX 59440, JACKSON, MS 39284-9440
(601) 502-0493

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7154
MS

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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