Individual
AMANDA MARIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 TURNPIKE ST, SOUTH EASTON, MA 02375-1776
(781) 924-7171
Mailing address
203 HALL ST, RAYNHAM, MA 02767-1853
(617) 792-8317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW228959
MA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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