PAMELA JEAN JENKS

GREENFIELD, WI
NPI1194801415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  684)
Enumeration Date2006-10-29
Last Update Date2007-07-08
Business Address
Mrs. PAMELA JEAN JENKS C.A.D.C.III
4811 S 76TH ST SUITE208
GREENFIELD, WI 53220-4364
Phone number: 141-481-7044
Mailing Address
Mrs. PAMELA JEAN JENKS C.A.D.C.III
311 E EVANDALE DR
OAK CREEK, WI 53154-3015
Phone number: 141-476-8031
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