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Individual

PAMELA JEAN JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, MSW, LSW

Contact information

Practice address
7642 READING RD, CINCINNATI, OH 45237-3204
(513) 888-3198
Mailing address
10979 REED HARTMAN HWY STE 100, BLUE ASH, OH 45242-2857
(513) 888-3198

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S0017315
OH
225700000X
Massage Therapist
Primary
7760
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982144390
OH
Enumeration date
03/03/2017
Last updated
08/11/2022
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