EDWARD LEON JENKINS

DETROIT, MI
NPI1144470451
Former NameEDWARD LEON JENKINS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-09-23
Last Update Date2008-09-23
Business Address
MR. EDWARD LEON JENKINS
15805 BAYLIS ST 204
DETROIT, MI 48238-3915
Phone number: 313-728-1316
Mailing Address
MR. EDWARD LEON JENKINS
15805 BAYLIS 204
DETROIT, MI 48238-1579
Phone number: 313-728-1316
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