Provider Information for 1528106952
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Dr. CYNTHIA LAFAYE JENKINS LMHP, LMT
Sex: Female
NPI: 1528106952
Last Updated: 2021-07-20
Certification Date: 2021-07-20
Certification Date: 2021-07-20
Details
| Name | Value | ||||||||||||
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| NPI | 1528106952 | ||||||||||||
| Enumeration Date | 2007-02-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2552 PRATT ST OMAHA, NE 68111-2943 United States Phone: 402-740-1159 | Fax: | ||||||||||||
| Primary Practice Address | 2811 HAMILTON ST OMAHA, NE 68131-1524 United States Phone: 402-740-1159 | Fax: | ||||||||||||
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