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Individual

LATOSHA JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
2759 W SURREY DR, NORTH CHARLESTON, SC 29405-5543
(843) 303-3802

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760596480
SC
Enumeration date
07/15/2026
Last updated
07/15/2026
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