Individual
MRS. MELISSA SUE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
100 DEBARTOLO PL STE 220, YOUNGSTOWN, OH 44512-6095
(330) 965-7828
Mailing address
100 DEBARTOLO PL STE 220, YOUNGSTOWN, OH 44512-6095
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
KU1039142
OH
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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