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Individual

MR. RYAN K JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1980 E LOHMAN AVE STE E, LAS CRUCES, NM 88001-3194
(575) 914-2634
Mailing address
1980 E LOHMAN AVE STE E, LAS CRUCES, NM 88001-3194
(575) 914-2634

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
53949
TX
1041C0700X
Clinical Social Worker
Primary
C-11531
NM
1041C0700X
Clinical Social Worker
X-06368
NM
1041C0700X
Clinical Social Worker

Other

Enumeration date
09/08/2008
Last updated
05/15/2024
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