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1588758056
DIANE A. JENKINS
PHOENIX, AZ
NPI
1588758056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-11484)
Enumeration Date
2006-10-02
Last Update Date
2021-06-28
Business Address
Ms. DIANE A. JENKINS LCSW
4212 N. 16TH STREET
PHOENIX, AZ 85016
Phone number: 602-263-1511
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Mailing Address
Ms. DIANE A. JENKINS LCSW
PHOENIX INDIAN MEDICAL CENTER P O BOX 95460
CLEVELAND, OH 44193
Phone number: 602-581-6088
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