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Individual

BENJENUS ELIZABETH JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
14405 ARLANDES DR, CHARLOTTE, NC 28278-7273
(843) 534-3142
Mailing address
14405 ARLANDES DR, CHARLOTTE, NC 28278-7273
(843) 534-3142

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012701
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
NC
Enumeration date
08/15/2018
Last updated
08/15/2018
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