Individual
DOMINICK JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
728 CAMBERLEY CIR APT B2, TOWSON, MD 21204-0868
(443) 682-4719
Mailing address
728 CAMBERLEY CIR APT B2, TOWSON, MD 21204-0868
(443) 682-4719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27660
MD
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
08/16/2021
Last updated
04/30/2024
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