Individual
JASMIN LIONNE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8165
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500698444
—
OR
Enumeration date
06/24/2014
Last updated
07/30/2024
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