Individual
AYANA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3360 SHORE PKWY, BROOKLYN, NY 11235-2716
(718) 769-0405
Mailing address
3360 SHORE PKWY, BROOKLYN, NY 11235-2716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082293-1
NY
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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