Individual
MRS. DOROTHY BEATRICE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR
Contact information
Practice address
505 BEECHWOOD ST, RIVER ROUGE, MI 48218-1041
(313) 386-2288
(313) 386-5986
Mailing address
1109 IROQUOIS ST, DETROIT, MI 48214-2751
(313) 598-6638
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2480017
MI
1041C0700X
Clinical Social Worker
1984150
MI
106H00000X
Marriage & Family Therapist
1984159
MI
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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