Individual
SARAH MARIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 671-5925
Mailing address
2436 N 74TH ST, WAUWATOSA, WI 53213-1238
(414) 476-4732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3609125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41007000
—
WI
Enumeration date
05/26/2006
Last updated
02/08/2008
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