Individual
JASMINE ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 DAHLIA DR, VIRGINIA BEACH, VA 23453-2141
(757) 997-5027
Mailing address
641 CARRIAGE HILL RD, VIRGINIA BEACH, VA 23452-6546
(757) 997-5027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
VA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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