Individual
JASMINE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
K23 SHIRLEY LN, LAWRENCE TWP, NJ 08648-1420
(609) 222-0412
Mailing address
K23 SHIRLEY LN, LAWRENCE TWP, NJ 08648-1420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19169
MD
104100000X
Social Worker
44SL06016200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05774200
NJ
Other
Enumeration date
12/20/2013
Last updated
04/24/2025
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