Organization
S M BACKUS LLC
Active
Other names
Shadow Jasmin LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHADOW-LYTE JASMIN LCSW (OWNER)
(608) 409-3400
Entity
Organization
Contact information
Practice address
2415 PARVIEW RD STE 1, MIDDLETON, WI 53562-2554
(608) 409-3400
Mailing address
1950 FOGGY MOUNTAIN PASS, WAUNAKEE, WI 53597-2383
(608) 409-3400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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