Individual
MINDY BAIERA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1208 MARKET ST, DALLAS, PA 18612-3122
(570) 760-6667
Mailing address
1208 MARKET ST, DALLAS, PA 18612-3122
(570) 760-6667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140933
PA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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