Individual
DIMONIQUE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32871 LA-16, DENHAM SPRINGS, LA 70706
(225) 883-9442
Mailing address
32871 LA-16, DENHAM SPRINGS, LA 70706
(225) 588-3944
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2016
Last updated
05/24/2024
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