Individual
DEANNA LYNNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4324 UNIVERSITY AVE STE B, GRAND FORKS, ND 58203-1938
(701) 746-4584
(651) 925-0057
Mailing address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
24095
MN
1041C0700X
Clinical Social Worker
Primary
5995
ND
1041C0700X
Clinical Social Worker
CSW008681
GA
Other
Enumeration date
04/18/2018
Last updated
09/09/2025
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