Individual
CARRIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT, MT-BC
Contact information
Practice address
128 SOUTHWINDS RD, SUITE 3, FARMINGTON, AR 72730-8652
(479) 267-6934
Mailing address
PO BOX 325, FARMINGTON, AR 72730-0325
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09472
AR
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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