Individual
TIANRDA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
117 KELLY LN, CLAYTON, NC 27520-7258
(919) 523-8055
Mailing address
117 KELLY LN, CLAYTON, NC 27520-7258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P016429
NC
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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