Provider Information for 1164523890
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Ms. ZSA ZSA DIANNE JENKINS LCSW
Sex: Female
NPI: 1164523890
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1164523890 | ||||||||
| Enumeration Date | 2006-09-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | CMR 457 BOX 88 APO, AE 09033 Germany Phone: 0114997215099904 | Fax: | ||||||||
| Primary Practice Address | CMR 457 BOX 88 APO, AE 09033 Germany Phone: 0114997215099904 | Fax: | ||||||||
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