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Organization

STEPHEN JENKINS PHD ABPP LP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN JENKINS PHD (LICENSED PSYCHOLOGIST)
(320) 253-3715
Entity
Organization

Contact information

Practice address
1411 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4180
(320) 253-3715
Mailing address
1741 OREGON TRL, SAINT CLOUD, MN 56301-9164
(320) 309-8784

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/30/2021
Last updated
08/27/2021
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