Individual
ABIGAIL JENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
18 JONES RD, PELHAM, MA 01002-9715
(413) 461-6219
Mailing address
18 JONES RD, PELHAM, MA 01002-9715
(413) 461-6219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO4948
BC/BS
MA
Enumeration date
07/12/2006
Last updated
07/08/2007
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