Tisha R. Jenkins, Lcsw P.a.

NPI #1437524170 in Malvern, Arkansas

Provider Information

NPI Number: 1437524170
Entity Type: Organization
Organization Name: Tisha R. Jenkins, Lcsw P.a.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 7, 2015
Last Updated: Apr 15, 2024

Practice Location

Address: 302 S MAIN ST
City: Malvern
State: Arkansas
ZIP Code: 72104-3737
Phone: (501) 786-9308

Authorized Official

Name: TISHA R. JENKINS, LCSW
Title: OWNER
Phone: (501) 786-9308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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