Most Relevant Information
Provider Data
| NPI Number: | 1003310210 |
| Provider Name: | RENEE ANN JENKINS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2010009745 |
Most Important Dates
| Enumeration Date: | 03/21/2018 |
| Last Updated: | 03/21/2018 |
Provider Practice Location
1550 E SUNSHINE ST
SPRINGFIELD
MO
658041214
Practice Location Phone/Fax
| Phone: | 4178837500 |
| Fax: |
Provider Mailing Location
1550 E SUNSHINE ST
SPRINGFIELD
MO
658041214
Provider Mailing Phone/Fax
| Phone: | 4178837500 |
| Fax: |