| Doctor Name: | MRS. DOROTHY BEATRICE JENKINS |
| NPI Number: | 1598089526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DOCTOR |
| License Number: | 1984150 |
| Business Practice Address: | 505 Beechwood St River Rouge, MI - 482181041 |
| Business Phone Number: | 3133862288 |
| Business Fax Number: | 3133865986 |
| Mailing Address: | 1109 Iroquois St, DETROIT |
| State: | MI |
| Postal Code: | 482142751 |
| Phone Number: | 3135986638 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2010 |
| NPI Last Update Date: | 03/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1984150 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |