Individual
MS. STEPHANIE ANN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L..P.
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 823-7186
(612) 870-1200
Mailing address
4809 PORTLAND AVE, MINNEAPOLIS, MN 55417-1033
(612) 823-4041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3440
MN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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