Individual
SAMANTHA RENEE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Mailing address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2017024857
MO
104100000X
Social Worker
9771
KS
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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