Most Relevant Information
Provider Data
| NPI Number: | 1003445008 |
| Provider Name: | JENNIFER MIKELL LINCOLN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 24026 |
Most Important Dates
| Enumeration Date: | 04/02/2020 |
| Last Updated: | 04/02/2020 |
Provider Practice Location
1325 CROWLEY LN APT 6
FAIRFIELD
CA
945336001
Practice Location Phone/Fax
| Phone: | 7072286619 |
| Fax: |
Provider Mailing Location
1325 CROWLEY LN APT 6
FAIRFIELD
CA
945336001
Provider Mailing Phone/Fax
| Phone: | 7072286619 |
| Fax: |