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1932948122
KELLY NICHOLE JENKINS
FORT JOHNSON, LA
NPI
1932948122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.027203)
Enumeration Date
2024-05-20
Last Update Date
2024-10-17
Business Address
KELLY NICHOLE JENKINS LCSW
1585 3RD ST
FORT JOHNSON, LA 71459-5102
Phone number: 910-336-8721
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Mailing Address
KELLY NICHOLE JENKINS LCSW
158 STOUT LN
HINESVILLE, GA 31313-5799
Phone number: 910-336-8721
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